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SAN JOAQUIN COUNTY PUBLIC H" 'TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIS�/i `/ <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account) AR0016291 <br /> Facility I FA0009291 <br /> Date Printed 4/25100 <br /> WILLIAM BRAUN RE: TED'S WELDING &REPAIR <br /> TED'S WELDING &REPAIR 8932 E HWY 12 <br /> PO BOX 726 VICTOR CA 95253 <br /> VICTOR CA 95254 OWNER: G WILLIAM BRAUN <br /> Health <br /> Hrs Employee Amount <br /> Date Pmgram Description - - - - <br /> Invoice# IN0070061 —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 510.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5/2 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYME T <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 /> PAYMEN Y <br /> RECEIVED <br /> MAY 1020 <br /> SAN+OAOUIN CIIJNTy <br /> PUBLIC HEALrH <br /> Si <br /> ENVI ONMENTALHEAI,TH UIVIa,QI. <br /> 5255.rpt <br />