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Page 1 <br /> SAN JOAOUIN COUNTY PUBLICLTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0020285 <br /> FA0012428 <br /> Facility ID <br /> Date Primed <br /> 2/1/01 <br /> RE : ENVIRONMENTAL SVC PROD MFG <br /> ROGER FOX 1300 E VICTOR RD <br /> ENVIRONMENTAL SVC PROD MFG LODI CA 95240 <br /> <br /> OWNER: ENVIRONMENTAL SVC PROD MFG <br /> Health Hrs Employee Amount <br /> Date Program Description - -- — - `- <br /> invoice# 118100811481 —Date of Invoice: 1130101 <br /> $100.00 <br /> 1/3012001 2220 SM HW GEN<5 TONS/YR $10.00 <br /> 1/302001 2399 UNIFIED PROGRAM FAG STATE SERVICE FEE Total for this Invoice $110.00 <br /> Payment Due Date 313 01 <br /> TOTAL DUE this Billing Period $110.0 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SE(viCt FEES <br /> F-P-enalties will be added to all Permit Fees penalties will be added at the Rate of 10 <br /> at the Rate of 100%of the Base Fee <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> MAR 0 5 2001 <br /> SAN JO.40VIN COUNTY <br /> PGBLIC I-'E;1L�ii SERVICES <br /> EN4';PC,`d dF�N Ir,L t1j ALTH DIVISION - <br /> 5255.rp1 <br />