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i <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 45252 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WFBER AVE -- 3RD FLOOR <br /> STOCKTON, CA 95202 289-460--3428 <br /> Billing <br /> Account" Date <br /> TO : C KELLEY TRUCKING <br /> 4969 E WATERLOO RD 0003329 12/15/97 <br /> STOCKTON , CA 95245 - - <br /> ATTN : C KELLEY, TRUCKING INC Facility Iia <br /> RE : C KELLEY TRUCKING 043757_ <br /> 4969 - -E-- t4ATERLOO ,RT) STOCKTON <br /> PLEASE RETURN INVOICE NOTICE WITH PAYMENT <br /> Health <br /> Date Program Description Amount <br /> Invoice # : 044102 <br /> 12/12/97 2380 Underground Tank Permit Fee $170 . 00 <br /> 12/7.2/97 2399 UNIFIED PROGRAII FAC STATE SERVICE FEE $1s . 5Q <br /> Total for this invoice : $188.50 <br /> Total Due: $188 .50 <br /> Payment DUE DATE: 12 <br /> This INVOICE is for the ANNUAL <br /> Environmental Health PERMIT FEES <br /> for this FACILITY <br /> [January 1 . 1998 to December 31 , 1998] <br /> If this ACCOUNT has other charges due , <br /> a complete monthly ACCOUNT STATEMENT will be <br /> sent after December 20th <br /> Penalties will be added on all Permits <br /> at the rate of 100% of the Base Fee 30 <br /> days after the due date. <br /> Please make Checks PAYABLE to: PHS/EHD N�41Z. <br /> DEC <br /> 221997 <br /> SAN <br /> k'NV0 UN <br /> ,Postrl�"1QL��,,� <br /> �,y NrA X88 8841,7p <br /> ,7 srp <br /> N <br />