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SAN JOAQUIN COUNTY ,PUBLIC HEALTH SERVICES Report #5255 <br /> ENVIRONMENTAL HEALTH DIVISION Statement Printed: 02/22/96 <br /> 304 E WEBER AVENUE - 3RD FLOOR <br /> PO BOX 386 <br /> STOCKTON, CA 95201-0388 <br /> Accounting Office: 209 468-3420 <br /> 11 CD cIL-- <br /> TO: RO-TILE <br /> <br /> <br /> r— <br /> ATTN: GARY & TERRI HALL I r^aC a 1ty ID 003945 <br /> RE: RO-TILE W <br /> 310 CLUFF AVE LODI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> FDa7eDescription Hrs Employee Amount <br /> Invoice # 005761 -- Date of Invoice: 1 08/93 <br /> 12/08/93 1986-90 UST FEES, PENALTIES & SUR ARGE// $1 ,,936 . 00 <br /> (Tois Po RT r otj I C L E GA L 9-- ----- ------- <br /> NO T 0 d R S Total fo his invoice: Sl, 00 <br /> Payment PAST UE <br /> If this INVOICE has been Paid, Please Disregard this Notice , . . <br /> Invoice # 025805 -- Date of Invoice: 01/22/96 /ku'r h, C�l I(A"&' <br /> 01/22/96 2380 UST Permit Fee Tank # TA2592O1 $170 . 00 <br /> ------------------------------------- <br /> Total for this invoice: $170.00 <br /> Payment DUE DATE 02/21/96 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> P AYMF-NT <br /> ! FF. <br /> {#FCdE.A! <br /> MAR - 6 1996 <br /> SAN JOAQUIN GGuse-, <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED an all ANNUAL PERMITS at the rate of 101 of the Service Fee <br /> at the rate of 1004 of the Base Fee 30 days after the Payment DUB DATE C <br /> 30 days after the Payment DUB DATE. and EACH 30 days thereafter. U <br /> TOTAL DUE this Billing Period: 0 <br />, <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary 11 1 <br /> 170 . 00 0 . 00 0 . 00 0 . 00 1 , 936 . 00 <br />