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SAN JOAQUIN COUNTY PUBLIC HE TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISI� <br /> 304 jE WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0017090 <br /> Facility ID FA0010090 <br /> Date Printed 5/2/00 <br /> wsi <br /> PATRICK HOLLINGSWORTH RE: AAA MACHINE <br /> AAA MACHINE 121 E LINDSAY ST <br /> PO BOX 997 STOCKTON CA 95202 20 <br /> STOCKTON CA 95201 <br /> OWNER: PATRICK HOLLINGSWORTH <br /> Health <br /> Date Program Description <br /> Hrs Employee Amount <br /> Invoice# IN0070628---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR / $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE ly $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 6/1/2000 <br /> TOTAL DUE this Billing Peliadi $110.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%ofthe Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYmFN <br /> Rhr-d°,I1E11'�fr P, <br /> BUN 12wo <br /> SAN JOAQUIN COUNTY <br /> PUBLIC:HE.ALtH SERVICES <br /> ENVIRONMENTAL HEAT TH DIVISION <br /> 5255.rpt <br />