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y - • "" y PUBLIC HEALTH SERVICES <br /> ENVIRONME,NT,AL HEALTH DIV' ON Report 05255 <br /> 304 E WEBER AVENUE — 3RDSe„i/OOR St ment Printed : 05/20/99 <br /> STOCKTON , CA 95202 <br /> Accounting office : 209 46B-3420 <br /> TO : TOWER PARK MARINA <br /> <br /> Account # 0016464 <br /> ATTN : DON CLOWARD <br /> Facility ID 009464 <br /> RE : TOWER PARK MARINA <br /> 1490 W HWY 12 <br /> L 0 D I _.--. _... .. <br /> PLEASE RETURN a COPY of THIS STATEMENT With YOUR PAYMENT <br /> kk <br /> Service Activity <br /> Gate Description <br /> Hrs Employee Amount <br /> Invoice 0 056661 -- Date of Invoice: 05/18/99 ` <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> $1--- <br /> Total for this invoice : 8 . 50 <br /> —^i 318_ <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE 2 99 <br /> Invoice 0 058820 -- Date of Invoice: 05/18/99 <br /> 05 /18/99 2220 SM HW GEN <5 TONS/YR $100 . 00 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> $10". <br /> Total for this invoice : $110.0 <br /> Payment DUE DATE 0 99 <br /> If this INVOICE has been Paid, Please Disregard this Notice ) <br /> / <br /> c4G _ <br /> .57�- <br /> For all SERVICE FEES penalties Will <br /> Penalties Will be added on all Permits be added at the rate of 100 61 days <br /> at the rate of 1105 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: $128�50p <br /> Please make Checks PAYABLE to: PHS/EHD 9 <br /> PAYMENT <br /> JUN22Mg <br /> 0 <br /> 111 JQAQUIN CQUNry <br /> EN1�PUBLIC HEA4TH SER1/Iq <br />