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SAN JOAOUIN COUNTY ( Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID ARoo,s2s1 <br /> Facility ID FA0009291 <br /> Date Printed 2/5/2002 <br /> WILLIAM BRAUN RE: TED'S WELDING&REPAIR <br /> TED'S WELDING&REPAIR 8932 E HWY 12 <br /> PO BOX 726 VICTOR CA 95253 20 <br /> VICTOR CA 95254 OWNER: GWILLIAM BRAUN <br /> Health <br /> Date Program Description - Hrs Employee Amount <br /> Invoice# IN0091046--Date of Invoice: 1122/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEF $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YF $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 7 <br /> TOTAL DUE this Billing Period $ <br /> 217.50 <br /> Please make Checks PAYABLE to: 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 18 2002 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />