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ann JUFlUUSN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIV` TONReport 15255 <br /> 304 E WEBER AVENUE — 3RDX „LOOR Sr 'ement Printed : 05 /20/99 <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> TO : BIG W SALES <br /> PO BOX 6889 Account M 0016912 <br /> STOCKTON , CA 95206 <br /> ATTN : ANN L WUNSCH Facility IO 009912 <br /> RE : BIG W SALES <br /> T <br /> S ,OCKyT, C�JARTER_WAY <br /> STOCKTON - - <br /> PLEASE RETURN a COPY of THIS STATEMENT With YOUR PAYMENT <br /> Service Activity <br /> Date Description — Hrs Employee Amount <br /> Invoice 0 057063 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE .FEE6 . 50 <br /> —6/20/99 <br /> ----------------------------- ----- <br /> Total for this invoice: j18.5 <br /> TE <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DA <br /> Invoice 0 059251 -- Date of Invoice : 05/10/99 <br /> 05/18/99 2220 SM HW GEN (5 TONS/YR $100 . 00 <br /> 05 /18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . <br /> Total for th r nvoice: j11O . 00 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE 06/20/9 <br /> JUN 161999 <br /> For all SERVICE FEES penalties Will <br /> Penalties will be added on all Permitssnip be added at the rate of lit 61 days <br /> io,rac n„�. <br /> at the rate of 110% of the Base Fee 30 PUHuc�eA,fwe <br /> flewMRwrnee+c�,ns .'., P6st invoice date and each 31 days <br /> days after the due date. %NVi <br /> thereafter. <br /> TOTAL DUE this Billing Period: — 5128 .50 <br /> Please make Checks PAYABLE to : PHS/EHD <br />