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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> ENVIRONMENTAL ' HEALTH OIVIS`^N <br /> ;145 N SAN JOAQUIN STREET <br /> ! PO BOxX 388 1 <br /> ! STOCKTON , CA 95201-04-fS.$, <br /> Accounting Office : 209°468-0340 <br /> I I <br /> G:: C::: C/ L.J f•7 t-. r=i 't:: Z4 -t� c,f fro 7':. f-'Y t- I <br /> 1 <br /> ' I <br /> I TO : ROSATO & RELF INVESTMENTS — <br /> PO BOX ,8640 Account # 0003391 <br /> STOCKTON . CA 95208 _ --- <br /> ATTN : WILLIAM RELFy Facilxt ID 008806 I <br /> RE : J H SIMPSON CO __ __ Billing- Bate: - -01 /11j95 — <br /> 4025 CORONADO AVE STOCKTON <br /> I <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> I 1 <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> II Invoice # 017031 -- Date of Invoice: 01/11/95 <br /> 01 /11 /95 2380 Underground Tank Permit Fee to& 90 ( <br /> $170 . 00 i <br /> -- <br /> Total for this invoice : ;170 .00 <br /> If this INVOICE has been Paid , Please Disregard this Notice . . . <br /> . . , and DEDUCT the Amount Paid from the TOTAL DUE <br /> i <br /> PAYMENT <br /> �4 <br /> I i <br /> I <br /> ! <br /> FEB 1 199a <br /> Penalties will be added on all PERMIT FEES SAN JOPIQQIN-tiGUN}'r <br /> at the rate of 100% of the Base Fee PUBLIC HEALTHSERVICESHDIV15n.N <br /> 60 days after the invoice date . ENVIR9NMFNTAI.HEAL T <br /> For all SERVICE FEES penalties will <br /> I be added at the rate of 10% <br /> I 60 days past the invoice date and <br /> each 30 days thereafter . <br /> I TOTAL DUE this Billing Period : ;170. 0-0 <br /> I <br /> Account 1-30 Days 37. -60Days 61-90 Days 91 120 Da s 121+ Plus I <br /> Summary —� <br /> I <br /> �~ 170 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br /> I <br /> I <br /> II � I <br />