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SAV JOAQUIN COUNTY EN RON'--NTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE-3RD FL OR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0006129 <br /> Facility ID FA0005534 <br /> Date Printed 3/28/2002 <br /> ■rrrrrrrr�w� <br /> BALJIT SAHOT RE : THE SERVICE STATION <br /> THE SERVICE SATION 1100 W 11TH ST <br /> 1100 W 11TH ST TRACY CA 95376 <br /> TRACY CA 953 6 <br /> OWNER: SAHOTA,BALJIT <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0092360---Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GE 4<5 TONSNR $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $217.50 <br /> Please make Checks AYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYME T <br /> Penalties will be added o all Permit Fees For all SERVICE FEES <br /> at the Rate of 100% f the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after th Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> a <br /> TD U E <br /> PVF vVO U o;w 3RECIATE YOUR <br /> PAYMENT'TODAY! <br /> PvvR eo <br /> ApR B Ntz <br /> SAN JOAOUIN Gt7UNT� <br /> PUBLIC HEAI.THEAERH1pNSg10N <br /> EN�IRONMEN�'� <br /> 5255.rpt <br />