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SA,N JOAQUIN COUNTY PUBLIC HF'-TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVA <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0016657 <br /> Facility ID FA0009 <br /> <br /> <br /> 2941 NAVY DR <br /> 2941 NAVY DR STOCKTON CA 95206 20 <br /> STOCKTON CA 95206 OWNER: SUPPORT TERMINAL OPERATING PT <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070280---Date of Invoice: 4119100 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 6/2212000 <br /> TOTAL DUE this Billing Periodl $110.09V <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 /> atthe 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 /> _.c <br /> MAY 22MO <br /> -.N.OP 1L IJ'.a, <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DFVMION <br /> 5255.rpt <br />