Laserfiche WebLink
i <br /> i <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 16011 E. HAZELTON AVE. , D <br />• �j <br /> P O SOX 2009, STOCKTON, CA 95201 r . t <br /> BILL FOR SERVICES RENDERED Aja <br /> TIME MINIMUM FOR EACH INSPECTION-1 HOUR. ADDITIONAL INSPECTION TIME <br /> WILL BE COMPUTED TO NEAREST 1/2 HOUR INCLUDING TRAVEL TIME. <br /> NOTE: PRIOR TO ALL INSPECTIONS, CONTRACTORS ARE REQUIRED TO GIVE NOTICE <br /> AS SPECIFIED, ON THE PERMIT ALLLICATION. <br /> SITUS ADDRESS: 44 _ PERMIT <br /> BILL TO: NAME 42�JD�'l!q <br /> ADDRESS <br /> CITY/STATE ZIP <br /> PROGRAM: <br /> DESCRIPTION OF SERVICE(S) : h Y71wlfj-) <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/HOLIDAYS <br /> SANITARIANI <br /> OF BAM-4:LOPM 4 :30PM-SAM <br /> SERVICE HRS WORKED $Z.5/HR $52.50/HR $70/HR <br /> - - Z I 2- <br /> OTALS 3, !5 <br /> I ZZ <br /> BALANCE DUE- �117- <br /> BILLING DATE PAYMENT IS TO BE RECEIVED WITHIN,, <br /> 0 DAYS FROM THE BILLING DATE. <br /> RETURN ONE. COPY OF THIS HILL ALONG WITH PAYMENT. MAKE CHECKS PAYABLE � <br /> TO: SAN JOAGUIN LOCAL HEALTH DISTRICT. <br /> i <br /> � i <br />