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SAN JOAQUIN COUNTY ENVIRONC%�iTAL HEALTH DEPARTMENT ✓ Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016391 <br /> Facility ID F FA0009391 <br /> Date Printed 3/28/2002 <br /> MARK ALZAMMAR RE : AMESSA AUTOMOTIVE CNTR <br /> AMESSA AUTOMOTIVE CENTER 3943 N WEST LN <br /> 3943 N WEST LN STOCKTON CA 95204 20 <br /> STOCKTON CA 95204 <br /> OWNER: MARK ALZAMMAR <br /> Health — - <br /> Date Program Description Him Employee Amount <br /> Invoice# IN0091114—Date of Invoice: 1/2212002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNR $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 3171 02 <br /> TOTAL DUE this Billing Perlod $217.50 <br /> Please make Checks PAYABLE to: ERD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will he added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will he added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAgT DUE! <br /> �EYOUR <br /> `J PAYMEW TODAY! <br /> MID <br /> lrlll5l��� U �V <br /> APR 15 2002 <br /> ENVIRONMENI HEALTH <br /> PERMITAERVICES <br /> 5255.rpf <br />