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S.rN JOAQUIN COUNTY PUBLIC I <br /> TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIS <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0009941 <br /> Facility ID FA0006972 <br /> Date Printed It 4/24/00 <br /> RE: TSI TRANS SYSTEM INC <br /> TSI TRANS SYSTEM INC 707 ROTH RD <br /> PO BOX 3456 <br /> SPOKANE WA 99220 <br /> OWNER: TSI TRANS SYSTEM INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069773—Date of Invoice: 4/19/00 <br /> 4/15/2000 9991 Credit Adjustment -$10.00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2301 UST STATE SURCHARGE $8.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#001 $170.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $278.00 <br /> Payment Due Date L$278.00 <br /> TOTAL DUE this Billing Period 1) <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 /> �l t, G JW <br /> SAN JOAN UIN COUNTY <br /> ,,UBLIC HEALTH SERVICES <br /> ENVtRONMF JAL HEN TH DIU14SION <br /> 5255.rpt <br />