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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account lD AR001709a <br /> Facility ID LFA0010097 <br /> Date Printed 1 2/6/2002 <br /> DAVID W POTTS RE: STOCKTON AUTO DISMANTLERS INC <br /> STOCKTON AUTO DISMANTLERS INC 3239 S EL DORADO ST <br /> 3239 S ELDORADO ST STOCKTON CA 952063420 <br /> STOCKTON CA 95206 OWNER: DAVID W POTTS <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0091637---Date of Invoice: 1122/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YS $200.00 <br /> Total for this Invoicel $217.50 <br /> Payment Due Date 120 <br /> TOTAL DUE this Billing Period j$217.50 <br /> Please make Checks PAYABLE to. EHD / Return a Copy of This STATEMENT with Your PAYME <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 /> A� CSU <br /> � Q <br /> PAYM EN-1 <br /> RECEN-1-0 <br /> FED 2 2 2002 <br /> SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> 5255.rpt <br />