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SAN JOAOUIN COUNTY PUBI,I(�A1(I,TH SERVICES ,� Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 F,WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0017939 <br /> FA0010939 <br /> Facility ID <br /> Date Printed 2/28/01 <br /> MARIO M PEREZ RE : MARIO AUTO REPAIR <br /> MARIO AUTO REPAIR 1538 E SCOTTS AVE <br /> <br /> OWNER: MARIO M PEREZ <br /> Health <br /> Date Program Description- --- — _ - - --Hrs Employee Amount <br /> Invoice# IN0081079...Date of Invoice: 1/30/01 <br /> 1/30/20y01 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2061 2399 UNIFIED PROGRAM FAC STATE SE610E FEE $10.00 <br /> --- Total for this Invoice $110.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $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%of the 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 /> PAYMENT <br /> RECEIVED <br /> APR 13 2001 <br /> SAN JOIJ�'N COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL.HEALTH DIVISION <br /> 5255.rpt <br />