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SAN JOAQUIN COUNTY PUBL LTH SERVICES Page 1 <br /> EiWIRONNIENTAL HEALTH D N <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE <br /> Facility ID FA0010404 <br /> Date Printed 10/16/01 <br /> BRIAN HAYN RE : TUNE UP SHOP&SVC CTR INC <br /> TUNE UP SHOP&SVC CTR INC 1 W LODI AVE <br /> 1 W LODI AVE LODI CA 95240 20 <br /> LODI CA 95240 <br /> OWNER: BRIAN HAYN <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0087772---Date of Invoice: 10/16/01 <br /> 10/16/01 2220 SM HW GEN<5 TONSNR 200.00 <br /> Total for this Invoice $200.00 <br /> Payment Due Date 11/15/2001 <br /> TOTAL DUE this Billing Period $200.0 <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%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 /> PAYMENT <br /> RECEIVED <br /> NOV 2 7 2001 <br /> SAN JOi>' <br /> PUBUCIiI <br /> ENVIROMM� �i 'i 6 k <br /> 5255.rpt <br />