Laserfiche WebLink
. 1 T rUOLII 'tALTH SERVICES Report 15255 <br /> ENVIED-.KMENTAL HEALTH OIVIS N Std : 06 /20 /99 <br /> 304 E WEBER AVENUE — 3RD FOR <br /> STOCKTON . CA 95202 <br /> Accounting Office : 209 468-3420 <br /> T e...a <br /> TO : STLP'HENS ANCHORAGE _ <br /> 4950 W BROOKSIDE RD Accountl 0016260 <br /> STOCKTON , CA 95219 <br /> ATTN : HOWARD BURNS Facility ID 00926 <br /> RE : STEPHENS ANCHORAGE <br /> 4950 W BROOKSIDE RD <br /> ST IY T{a PJ <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT ., <br /> Service Activity <br /> Date . Description Hrs Employee Amount <br /> L.�. —_ �_— <br /> Invoice • 056482 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> --------------------------------- -- <br /> Total for this invoice : $18. 50 <br /> Payment DUE DATE 9 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Invoice • 058624 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 05/18/99 2220 SM HW GEN (5 TONS/YR $100 . 00 <br /> ----------------------- ----- <br /> Total for this invoice : $110 . 00 <br /> Payment DUE DATE <br /> If this INVOICE has been Paid, Please DIsregard this Notice <br /> ..,- -...�. �;,� ....'=',1:.+.'•tri:+� �k`�Na�',�ksei°Y^•?L:,'wpr�':�w`.-�;.d.YuaA;:stir+' -.:�...w.-•:. ,. n.. _.,�!'', <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 11% 61 days <br /> at the rate of illi 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: <br /> Please make Checks PAYABLE to: PHS/EHD <br /> 9pti Ji:Fu+u 'SFt diCr`<• C'N <br /> T11 <br />