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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 15252 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 96202 209-468-3420 <br /> X Wf0 -1:: C EC <br /> Billing <br /> Account # Date <br /> TO : SHELL SERVICE STA* _ <br /> <br /> -_ <br /> ATTN : BENJAMIN HOLT SHELL Facility <br /> I10 <br /> RE : SHELL SERVICE STA* 002111 <br /> W RENjAKIN "HOLT DR _ STOCKTIII7 ` - ---_. - <br /> PLEASE RETURN INVOICE NOTICE WITH PAYMENT <br /> -- — _ <br /> Health <br /> Dat:Program Description Amount <br /> Invoice # : 043954 <br /> 12/12/97 2315 Underground Tank Permit Fee $170 . 00 <br /> 12/12/97 2315 Underground Tank Permit Fee $170 . 00, <br /> 12/12/97 2315 Underground Tank Permit Fee $170 . 00 <br /> 12/12/97 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> I Total for this invoice : $528. 50 <br /> Total Due: $528. 50 <br /> Payment DUE DATE : 01/12 9B <br /> This INVOICE is for the ANNUAL <br /> 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 /> PAYMENT <br /> , <br /> Penalties will be added on all Rermits RECEPIE <br /> at the rate of 100% of the Base Fee 30 JAN 91998 <br /> days after the due date . <br /> SAN JOAQUIN CL.-N r <br /> PUBLIC HEA'rH SF!vrr.'1< <br /> Please make Checks PAYABLE to: P H S/E H liNVIRONMENTAL HEALTH <br />