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SAN. j1OAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> ENVIRO"NMENTAL HEALTH DIVT- -ON <br /> 445 N SAN JOAQUIN STREET%./ �r <br /> PO BOY 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-0340 <br /> urW C:. C': C::A k-1 1-1 '1_: "._: 9'_:: 1:::: <br /> TO : U HAUL COMPANY <br /> 749 N BLACKSTONEAccount # 0003377 <br /> FRESNO , CA 93701 <br /> ATTN U HAUL COMPANY Facility ID 003792 <br /> RE : U HAUL COMPANY - Billing Date : o /il /95 <br /> 450 N CHEROKEE LN LODI <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 017021 -- Date of Invoice : 01/11/95 <br /> 01 /11/95 2380 Underground Tank Permit Fee $170 . 00 <br /> 01/11/95 2380 Under'gr'ound Tank Permit Fee $170 . 00 <br /> Total for this invoice : 340 . 00 <br /> If this INVOICE has been Paid , Please Disregard this Notice . . . <br /> . . . and DEDUCT the Amount Paid from the TOTAL DUE <br /> PAYMENT <br /> RECEIVED <br /> .IAN 1 3 FEB 8 199r <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> By ENVIRQNMENTAI I-IMTH DIViSiON <br /> Penalties will be added on all PERMIT FEES <br /> at the rate of 100% of the Base Fee <br /> 60 days after the invoice date . <br /> For all SERVICE FEES penalties will <br /> be added at the rate of 10% <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> TOTAL DUE this Billing Period : ;340. 00 <br /> Account 1-30 Days 131-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary —�—.. <br /> 340 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br /> u �r <br />