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SAN 30AQUIN COUNTY PUBLIC HEA_'TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISI6,00 VA/ <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0016391 <br /> Facility I FA0009391 <br /> Date Printed4/25/00 <br /> LMMOMMMOMEMA <br /> MARK ALZAMMAR RE: AMESSA AUTOMOTIVE CNTR <br /> AMESSA AUTOMOTIVE CENTER 3943 N WEST LN <br /> 3943 N WEST LN STOCKTON CA 95204 <br /> STOCKTON CA 95204 OWNER: MARK ALZAMMAR <br /> Health <br /> Date Program Description _ _Firs_.E.rnAloyee Amount <br /> Invoice# IND070130—Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5,257 <br /> TOTAL DUE this Billing Periodi $110.00/ <br /> Please make Checks PAYABLE to: PHS/EBD / 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 /> N44 NVc,V rnN <br /> 5255.rpt <br />