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FAN JUAQUIPa CUUP41 Y PUBLIC ,-EiEAL 1H SLRV],CE5 Report 35255 i <br /> ENVIRONMENTAL HEALTH DTVI' N Sra hent Printed : ©5/24/99 <br /> <br /> <br /> ce : 209 458-3420 <br /> TO: G&L BR0CK CONSTRUCTION CO INC — ----.---� <br /> 4145 CALLOWAY CT Account # 0017980 <br /> STOCKTON , CA 95215 24 <br /> ATTN : GARY BROCK Facility ID 010980 <br /> RE : G&L BROCK CONSTRUCTION CO INC <br /> 4145 CALLOWAY CT <br /> '�DTOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> i <br /> Date Description Hrs Employee Amount <br /> Invoice # 058082 -- Date of Invoice : 05/18/99 ? <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE; FEE $18 . 50 <br /> -------------------------------------- <br /> Total for this invoice : � .50 <br /> Payment DUE DATE 06/20/99 } <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> i <br /> 1 oice # 060291 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2220 SM 14W GEN (5 TONS/YR $100 00 j <br /> 05/18/99 2399 UNIFIED PROGRAM FAC Sl ATE SERVICE FEE 0 . 001 <br /> Total for- this invoice : $110 . 00 <br /> Payment DUL DATE 0 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> JUL 21999 <br /> j For all SERVICE FEES penalties will <br /> i Penalties will be added on all Permits be added at the rate of 11% 6a days <br /> at the rate of 111% of the Base Fee 33 tr,vir; • ..„-,,; �t` +,!iv�Sn7st invoice date and each 31 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: $128. 50 l� <br /> Please make Checks PAYABLE to : PHS/EHD <br /> i <br /> i <br /> j <br />