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SAN-`JOAQUIN COUNTY PUBLIC SERVICES Report #5255 <br /> EN 7,R�WMENTAL HEALTH DIVIgrr , Sta'' ent Printed : 02/05 /96 <br /> 30A' E VtBER AVENUE — 3RD Fe OR <br /> PO BOX 3138 I <br /> STOCKTON , CA 9520.1-0386 <br /> Accounting Office : 209 468.-3420 <br /> :I:: <br /> I <br /> I <br /> I TO : ROSATO & RELF INVESTMENTS ` <br /> PO BOX 8640 Account # 0003391 J <br /> Y STOCKTON , CA 95208 I <br /> I ATTN : WILLIAM RELF Facility ID003806 <br /> I <br /> RE : J H SIMPSON CO <br /> fI <br /> 4025CORONADO _AVESTOCKTON_. _ <br /> i <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT I <br /> E <br /> Service Activityate Description Hrs Employee Amount <br /> I I <br /> Invo!P-9_402 396 -- Date of Invoice : 02/05/96 <br /> 02/05/96 2301 UST State Surcharge Fee Tank # TA1O68O1 $56 . 00 <br /> ------------------------ --- -- <br /> Total for this invoice : $56 <br /> Payment DUE DATE 0_3_/06/96 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> I _ <br /> pAl(AAEt+I'T <br /> SAN J OAC:Uy <br /> PUBLIC HEALTH SE HV ICES <br /> ENVIRONMENTAL HEALI Ii DiJISION I <br /> I <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of LBE of the Service Fee I <br /> at the rate of 100E of the Base Fee 30 days after the Payment DUE DATE <br /> 31 days after the Payment DUE DATE. and EACH 30 days thereafter. J <br /> TOTAL DUE this Billing Period : EL $56.00tl <br /> �� <br /> Account 1-30 Days 31--60 Days 61-9,0 Days 91-120 Days 121+ Plus <br /> Summary �� <br /> 56 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br /> I ' <br /> I <br />