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I <br /> SAN 7OAQ(Jlrfi`COItNTY P,18LTC FNwALTH sER`dICE° Report 15251, <br /> EtIVTROWMEt?TAL HEALTH DIVISION Statement Print_cd : 01JD? ;4F' <br /> 304 F LIEBER .AVFNLIE - 3RD FLOOR <br /> -TOCKTON , CP. <br /> A,: countxng Offick� : 209 466-34:0 <br /> V.O ISE LABS JNC =-- .— -. <br /> 100 TND'J`-TRTP. I PARK DR Account H _ 0005786 <br /> t1ANTcCA . CA 95336 <br /> ATTN - GARY i;l)E6' 1F il Ity TD 005324 <br /> RE : ISE LABS INC <br /> 40-0 TNOtJ^TRI"AL PAPP• DP - <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> errnce Ac t iv I t y <br /> Date Description Hr s Employee Amount <br /> Invoice ! 043812 -- Date of Invoice : 1 -/T?/9- <br /> 12/12 9 7 <br /> -/12/9712/12f97 2227 GEN 5(25 TONS PERMIT ",.13? . 40 <br /> Total for this invoice : --- -- ,137 . 40 <br /> Payment OUF DATE <br /> If this INVOICE has Deer. Paid, Please Cisregard this Notice <br /> Invoice 4 044283 -- Date of Invoice : 12/12/97 <br /> 1 ^ /12/97 2?99 UNTFIED PROORA..! FRC ':TATE SERVICE FEETank 'MPP507150 <br /> ! '/12 ,"7 '211 FIAZ WASTE PBR FAC 'TATE SERVICE FEE \\_ $49° . 00. <br /> ^ - <br /> Total for this invoice - .;516 . 50 <br /> Payment DUE DATE 01/1?/9a <br /> If thL LIP^aCE has teen Paid, Please Disregard this Notice 3 ` <br /> l„ <br /> Tnvoice It 044452 -- bate of Invoice : 12/12/97 <br /> 121121197 2231 HP,ZARr)0!1^ 6JA^TF rp rA1'I1 TTV rr7rMT? $6147 00 <br /> Total for thin invoice : T610 . 0A <br /> Payment DUF DATE —91/12/98 <br /> If this INVOICE has been Paid, Please Disregard thijM� 0 199$ <br /> Penalties will be added on all Permit: SAN Jok ut4 Woti�rslor+ For all SERVICE FEES penalties will <br /> USLie at the rate of 100% of the Base Fee W a dWor he added at the rats of Ilteach <br /> 60 days <br /> past in¢oice date and each 30 days <br /> days after the due date. thereafter. <br /> 1 <br /> TOTAL DUE this Billing Period : $1.293 .90 <br /> Please make Checks PAYABLE to : PHS/EHD <br />