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Owner' s Name: BOLER, LEON Facility Name & Address Account Mailing Address PRODUCTION MANUFACTURING PRODUCTION MANUFACTURING 1000 E CHANNEL ST Name Care Of Street Number Street City State _ Zip - Phone Alternate _-_- Alternate #2 Census District Location _ City code Balances - 1 to 30 $ -64 . 00 31 to 60 $ 0 . 00 Last payment S 234 . 00 61 to 90 $ 0 . 00 91 to 120 $ 0 . 00 Sent to collections 121 Plus $ 0 . 00 Total Due $ -64 . 00 Prior month' s balance Processing Page 1 F ACCTREC Accounts Receivable Account ID 0003313 Facility ID 003734 Responsible party Name PA Y7u►rlas"r Care Of Street Number Street HVED City 49ga- zip - PDE3LICHEpALTI eIEBgLte #2 Phone - - Alternate - - - _E"1126�TAL HEALTH DIVI6SION — Census District Location _ City code Balances - 1 to 30 $ -64 . 00 31 to 60 S 0 . 00 Last payment S 234 .00 61 to 90 S 0 . 00 91 to 120 $ 0 . 00 Sent to collections 121 Plus S 0 . 00 Total Due $ -64 . 00 Prior month' s balance F=Find E=Enter U=Update D=Delete Page 1 10 : 24 : 21a Account ID: 0003313 Date P/E Description Type Receipt # Check # Amount Invoice #006590 03/11 /94 2380 TANK BEFORE' 1 /84 170 . 00 03/23/94 9999 PAYMENT Check 94 PER 42873 170 . 00 Invoice #016972 01/11/95 2380 UST BEFOF" 1/84 170 . 00 Invoice #016657 SSSS_�YMENT — - Check SR005-084— TST45 - -234 . 00""— — Invoice #010751 06/23/94 9999 PAYMENT 4 Check SR00e49 8248 234 . 00 06/27/94 S034 UST PERM CLOSURE PLAN CHCK/INSPECTION 39 . 00 06/22/94 5034 UST PERM CLOSURE PLAN CHCK/INSPECTION 78 .00 06/23/94 5034 UST PERM CLOSURE PLAN CHCK/INSPECTION 39. 00 07/11/94 S034 UST PERM CLOSURE PLAN CHCK/INSPECTION 234 . 00 07/11/94 S034 UST PERM CLOSURE PLAN CHCK/INSPECTION 351 .00 08/01/94 5034 UST PERM CLOSURE PLAN CHCK/INSPECTION 39 . 00 09/28/94 9999 PAYMENT Check SR003449 45244 546 . 00