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SAN JOAQUIN COUNTY PUBLIC Hr -,TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIS. <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0016998 <br /> Facility ID FA0009998 <br /> Date Printed 4/25/00 <br /> SHERRIE MARCI RE: MARCI'S DIESEL SERVICE INC <br /> MARCI'S DIESEL SERVICE INC 2973 LOOMIS RD <br /> <br /> OWNER: MARCI'S DIESEL SERVICE INC <br /> Health <br /> Date Prnnram Description Hrs Employee Amount <br /> Invoice# IN0070552---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $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 5/25/2000 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to : PHS/EHD / 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%ofthe 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 /> PANWNT <br /> RECEIVED <br /> WAY 162 <br /> TN°sem s <br /> V*VXXIWNTAL HEAUN OlVIUM <br /> 5255.rpt <br />