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$AN JOAOUIN COUNTY PUBLI ALTH SERVICES . Page 1 <br /> ENVIRONMENTAL HEALTH DI ION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountlD AR0016403 <br /> FA0009403 <br /> Facility ID <br /> Date Printed 1/31/01 <br /> MILTON E WEISZ RE : CEN-CAL FIRE SYSTEMS INC <br /> CEN-CAL FIRE SYSTEMS INC 1615 S STOCKTON ST <br /> 43 MAXWELL ST LODI CA 95240 <br /> LODI CA 95241 OWNER: BYRON&WAYNE WEISZ <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079860---Date of Invoice: 1130101 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110. <br /> Payment Due Date 3/212001 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EBD / Return a Copy of TYis 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 /> FEB 2 12001 <br /> SAN JOAOUIfI COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRC WM T'+� HEALTH DIVISION <br /> 5255.rpt <br />