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ENVIRONMENTAL HEALTH DIVISION r <br /> 304 E WEBER AVE — 3RD FLC <br /> PO ?OX ?8�8 rr <br /> STOCKTON, CA 95201-0388 209-468-3420 <br /> znavo = ce <br /> • Billing <br /> T0 : OMS #17 STATE MILITARY DEPT Account # Date <br /> 9800 GOETHE—PO BOX 269101 0004471 11/01/95 <br /> SACRAMENTO , CA 95826-9101 - --- <br /> ATTN : ST OF CA OFF OF THE ADJ GEN Facility ID <br /> RE: OMS #17 STATE MILITARY DEPT 002722 <br /> 8010 S AIRPORT WAY STOCKTON <br /> PLEASE RETURN INVOICE NOTICE WITH PAYMENT <br /> Health <br /> Date Program Description Amount <br /> Invoice # 023850 <br /> 11/01/95 2227 GEN 5(25 TONS PERMIT FEES $ 164 . 00 <br /> Total for this invoice : 164. 00 <br /> Payment Due : 1 k@2 <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS <br /> at the rate of 100% of the Base Fee <br /> 30 days after the Payment DUE DATE . <br /> i <br /> ' <br /> v _- <br /> pAYMM?NT " <br /> Mnein^Sr-.-. <br /> DEC 11 1995 <br /> SAN JOr+OUIN uw .I Y <br /> c'. PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br />