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SAN JOAQUIN COUNTY PUBLIC HENLTH SERVICES Stj,— ment Printed .• 07 /26 /99 <br /> EP,J �TRQNMENTAL HEALTH DIV_T` N../ <br /> 304 E WEBER AVENUE — 3RD 'AOR <br /> ;TOCKTON , CA 95202 <br /> A"Counting Office : 209 468-3420 <br /> Y ' <br /> ' TO : STKN MUD Account # 00176553 <br /> 2500 NAVY DR ���RRRRRR <br /> STOCKTON , CA 95206 _ <br /> Facility I.D 010653 <br /> ATTN : DIANE M HINSON <br /> RE : STKN MUD WELLS — PRIMARY <br /> 7604 BRENTWOOD DR <br /> STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> [C)aHrs Employee Amount <br /> te Description — <br /> Invoice # 059976 -- Date of Invoice: 05/18/99 $100 . 00 <br /> 05/18/99 2220 SM HW GEN (5 TONS /YR $10 . 00 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 07 /20/99 PAYMENT __ _ ___ ____ _ <br /> Total for this invoice : —_ $100 . 00 <br /> Payment PAST DUE <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> f <br /> �Ia��G9 <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 16% 60 days <br /> at the rate of lee% of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : $100 .00 <br /> Please make Checks PAYABLE to : PHS/EHD <br />