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. SAN dOAOUIN COUNTY PUBLIC ' LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVI-.JN <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0017975 <br /> <br /> <br /> <br /> <br /> M BOWLES/ ISK MGMT RE : KRAGEN AUTO PARTS#1482 <br /> KRAGEN AUTO PARTS 309 W CHARTER WAY <br /> PO BOX 6030 STOCKTON CA 95206 60 <br /> PHOENIX AZ 135005 OWNER: CSK AUTO INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0081111 ---Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date /3/200 <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%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 /> RWN"7,,,,1 <br /> E <br /> r�=-1•l <br /> FEB 2 G 2001 <br /> 5255.rpt <br />