Laserfiche WebLink
JANJUAQUIN COUNTY E <br /> ENVIRONMENTAL HEALTH DEPARTMr' '% Page 1 <br /> 304 E WEBER AVE -3RD FLOOR i <br /> STOCKTON, CA 95202 it <br /> Phone: (209)468-3420 <br /> INVOICEAR0027518 ' <br /> Account iD :1 <br /> 'i <br /> 4 Facility ID FA0015830 <br /> i <br /> Date Printed 4/5/2005 t, <br /> 6 <br /> PATE!_, DAYARAM RE : SIERRA MOTEL <br /> SIERRA MOTEL 3416 E FARMINGTON RD <br /> 3416 E FARMINGTON RD �� STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 p <br /> OWNER PATEL, DAYARAM <br /> II <br /> Date Health i <br /> Program Description <br /> I Amount <br /> Invoice# IN0127519—Date of Invoice: 12123/2004 111111111111111 IIIA 1111111111111111111111111111 <br /> ' Hrs '� Employee <br /> 12/17/2004 3030 315-REPORT REVIEW 0.50 'I INFURNA 5 46.50 <br /> 12/23/2004 9999 PAYMENT I (S 276.00) <br /> 1/14/2405 3030 310-FIELD CONSULT 0.80 INFURNA $ 74.40 <br /> 2/8/2005 3030 310-FIELD CONSULT 0.80 'i INFURNA 5 74.40 <br /> 2/28/2005 3030 315-REPORT REVIEW 2.10 ° INFURNA $ 195.30 <br /> Total for this Invoice $ 114.60 i <br /> Payment Due Date 412212005 <br /> Invoice# IN0131836---Date of Invoice: 415!2005 � I IIIIIIIIIIIII III VIII VIII VIII VIII Illll VIII VIII Illll VIII!III IIIIII VIII 1111!III <br /> Hrs Employee <br /> 3/3/2005 3030 315-REPORT REVIEW 0.90 INFURNA $ 83.70 <br /> 3/14/2005 3030 310-FIELD CONSULT 4.60 I INFURNA $ 427.80 <br /> 3/14/2005 3030 315-REPORT REVIEW 0.70 l INFURNA $ 65.10 <br /> 4/1/2005 3030 315-REPORT REVIEW 2.70 INFURNA S 251.10 <br /> 4/512005 3030 315-REPORT REVIEW 0.80 INFURNA S 74.40 <br /> Total tar this lnvoice $ 902.10 <br /> i Payment Due Date 5/5/2005 <br /> TOTAL DUE this Billing Period $ 1,016.70 <br /> t <br /> 4 <br /> E <br /> r <br /> I <br /> i <br /> 'I <br /> Please make Checks PAYABLE to: 'EHD' _ Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES 1 HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% ; Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt '' r <br />