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r <br /> SAN JOAOUIN COUNTY PUB IC 1. ,TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH IVISION <br /> 304 E WEBER AVE-3RD FLO R <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR00�177771 <br /> FA0010771 <br /> Facility ID <br /> Date Printed 2/1/01 <br /> LAURA MARTI I RE : MARTINI'S AUTOMOTIVE <br /> MARTINI'S AU OMOTIVE 4032 N EL DORADO ST <br /> 4032 N EL DO DO ST STOCKTON CA 95204 20 <br /> STOCKTON C 95204 OWNER: MARTINI'S AUTOMOTIVE <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0080948---Date of Invoi e: 1/30/01 <br /> 1/30/2001 2220 SM HW G N<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED P OGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for thls Invoice $110.00 <br /> Payment Due Date /3/2001 <br /> TOTAL DUE this Billing Periodl $110.00 <br /> Please make Checks AYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties Will beadd d to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100 0 of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after he Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> R' WMENT <br /> RECEIVED <br /> MAR 0 6 2001 <br /> SAN JOAU'.';id COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />