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SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP'.."MENT age 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-S420 <br /> I SEP 0 9 2005 <br /> INVOICE BY--------------------- Account[W-A-R-00-2-87-09-1 <br /> INNEMEMEMMIllowa <br /> Date Prime f-8-/2-6/2-00-5 -1 <br /> 1-1-111MMUM11111 <br /> SUPPLE, PAUL Case#: R00000707 <br /> ATLANTIC RICHFIELD COMPANY 6100 N HWY 99 STOCKTON <br /> P 0 BOX 6549 <br /> MORAGA CA 94570 <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0136475--Date of Invoice: 8/25/2005 <br /> 11111111111111111111111111111111111 1111111111111111 Jill 1111111111111111 IV 11111 <br /> 7/14/2005 3526 310 FIELD CONSULT 1.0 DUNCAN $93.00 <br /> F , f,1 thu;�1,v,,c, -$93.00 <br /> _�tal <br /> Payment Due Date 9/2512 005 <br /> TOTA.L. DUE this �i`llingPerid� Z4$93;.0:Z0�1 <br /> Please make Checks PAYABLE to EHD Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Pcr.it Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fcc 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 /> 'ode: <br /> '20orPhase No:—,71,Ce- 660yll'- t( OW 2� <br /> Expense Code: <br /> Late: GUN GOU""I'i <br /> ,Arnount: %JOP. <br /> Siqnature: <br /> 5258rpt <br />