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INMUIN Ct .. PUBLIC;' HEALTH SERVICES Report 15255 <br /> ENVIRtNTAL609EEALTH DIVISION Statement Printed : 01/17 /97 <br /> 304 E WEBER AVEjdUE — 3RD FLOOR <br /> S'T0 ON , CA 95202 # <br /> 4-6ounting Office : 209 468x3420 <br /> T0 : ROTO ROOTER <br /> PO BOX 31300 ' Account # 0003324— <br /> STOCKTON , CA 95213 +k <br /> TTN ROTO ROOTER �� Facility ID 003745 <br /> RE ;�ROTO ROOTER <br /> 3 — -- -- - - <br /> 840— E -CARPENTER gTOCKTOtJ - <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date` Description _ Hrs Employee _ Amount <br /> r� <br /> Invoice 0 034510 -- Date of Invoice : 12/17/96 <br /> 12/17/96 2380 UST Permit Fee Tank # TA153301 $170 . 00 <br /> 12/17/96 2380 UST Permit Fee Tank # TA153302 $ pp <br /> Total _ his invoice : $340 .00 <br /> Payme t DUE DATE 1/18/97 <br /> If this INVOICE has been Paid, Please Disregard this Notice . <br /> I PAYMENT <br /> - --- ->-sv� LIAR 10 1997 <br /> SAN JOAQUIN CCUNT r <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES fori�SERVICE 'will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of 10% of the Service Fee <br /> at the rate of 100% of the Base Fee 34 days after the Payment DUE DATE <br /> 36 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period : $340 .00 <br /> Please Make CHECKS PAYABLE to : N> I O .".iiiw / AEF t I I:a <br /> $040 . 04 � .` . $0 00 $0 . 00 $0 . 00 $0 00 $340 00 <br /> 1 to 30 days 31 to 60 days 61 to 91 days 91 to 120 days ) 111 days Account <br />— Balance <br />