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gun Uin COUNTY PUBI HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH D)�.- TON Report 15255 <br /> 304 E WEBER AVENUE – 3RD�..COOR ` ement Printed : 05/20/99 <br /> STOCKTON, CA 95202 <br /> Accounting Office : 209 468-3420 <br /> :1: re *,r ca i. <br /> TO : REPORT RADIATOR <br /> PO BOX 5475 <br /> STOCKTON , CA 95215 Account 4 0017485 <br /> --- <br /> ATTN : CASSIE ALLEN <br /> Facility I 0104888 I <br /> RE : REPORT RADIATOR <br /> 2817 CHERRYLAND AVE 13 <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Date Description Service Activity —� <br /> Hrs Employee Amount <br /> Invoice 0 057606 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> ------------------ $18 . 50 <br /> Total for this invoice: $18 .50 <br /> If this INVOICE has been Paid, Please Disregard this Notice P a y m e n t D U E DATE 06/20/9 <br /> Invoice !- 359?a - -- Date of Invoice : 05/18/99 <br /> 05/18/9S' % 39'? ;JIIFIEO PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 05/18 /99 "''l '! t HW GEN <5 TONS YR <br /> - / P40;YMLVNT <br /> invoice : $110. 0 <br /> �f -1 G:'E DATE AS <br /> If this INYpICE hara�l@n Pa,d °1 '^^ "'^ -_ <br /> pi PVA. '4uw <br /> For a�l�'O�TNI'karule�S ;a'alcies will <br /> Penalties wi." `° .,'414 E1• all Permits be added at the rete of 11i 6@ daps <br /> past invoice date and each 34 daps <br /> at the rate 0' rClr'. s1 tie Base Fee 31 thereafter. <br /> dals after Cre ene a to- _ -_- <br /> TOTAL DUE this Billing Period: $128 .501 <br /> E� �_ _ <br /> Please make Checks PAYABLE to : PHS/EHD <br /> i <br /> / -7 <br /> r+ <br /> l � <br />