Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM' Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0021209 <br /> Facility ID FA0012722 <br /> Date Printed 11/19/2004 <br /> COMMUNITY MEDICAL CENTER RE : LAWRENCE ELEMENTARY HEALTHY START <br /> LAWRENCE ELEMENTARY HEALTHY START 721 CALAVERAS ST <br /> PO BOX 779 LODI, CA 95240 <br /> STOCKTON, CA 95201-0779 <br /> OWNER : COMMUNITY MEDICAL CENTERS INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0126612---Date of Invoice: '11H6/2004 IIINIIIIIIIIlIII IIIII IIIIfIIlllllll Illll llllllllllllll llll llllll 11111 11111111 <br /> 11/16/2004 4557 MED WASTE LIMITED HAULER $ 70.00 <br /> Total for this Invoice $ 70.00 <br /> Payment Due Date 17.!1812004 <br /> TOTAL DUE this Billing Period $ 70.00 <br /> LO�MU�•r� <br /> No.• 72VO ( MINER&SAN JOAQU N <br /> STOCKTON,CALIF.95202 90.10. <br /> 1201 <br /> ♦��`CE� CHECKCHECK DATE NUMBER <br /> P.O. Box 779 11/24/200 0772807 <br /> Stockton, CA 95201 <br /> ? OPAY <br /> 00 <br /> PAY THIS AMOUNT <br /> THE SAN ,TOAQUIN COUNTY <br /> DER OF ENV I RONHENTAL HEALTH DEPT <br /> 304 E WEBER AVE, 3RD FLOOR <br /> STOCKTON , CA 95202 - <br /> 1110 ? 2130 ?un is 1 2 1 10 10371: 2 121100 4 9 1IIi9u00 1 - <br /> Please make Checks PAYABLE to: 'EHD' w Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES f HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />