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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 152SS <br /> ENV_TWNMENTAI HEALTH DIV' ON St <br /> �ment Printed : 01/29/99 <br /> 304 E WEBER AVENUE — 3RD 'P"COOR <br /> STOCKTON , CA 95202f��� <br /> Accounting Office : 209 468-3420 <br /> ti <br /> CFart <br /> = a-I ^v i c n� <br /> 9?Ah I I b1110: 22 <br /> TO : OMS #24 STATE MILITARY DEPT <br /> PO BOX 269101 Account # 0004471 <br /> SACRAMENTO , CA 95826-9101 <br /> ATTN : ST OF CA OFF OF THE ADJ GEN Facility ID 002722 <br /> RE : OMS #24 STATE MILITARY DEPT <br /> 8010 S AIRPORT WY <br /> STOCKTON <br /> PLEASE RETURN a COPY of TRIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 054051 -- Date of Invoice: 01/28/99 <br /> 01/28/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> 01/28/99 2227 GEN 5(25 TONS PERMIT $1 , 400 . 00 <br /> ------------------------------- <br /> Total for this invoice: $1,410.00 <br /> Payment DUE DATE 03/01/9 <br /> If this INVOICE has been Paid, Please Disregard—th.isAot-ice-- _ — - __ <br /> PAYMENT <br /> RECFFVFr` <br /> MAR 2 3 1999 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of lit 61 days <br /> at the rate of III% of the Base Fee 30 past invoice date and each 31 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : $1 , 410. 00 <br /> Please make Checks PAYABLE to : PHS/EHD <br />