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Owr ' s Name : AD ART INC <br /> Facility Name & Address %W.", Account Mailing Address <br /> AD ART INC AD ART INC <br /> 3133 N AD ART RD <br /> <br /> Name <br /> Care Of <br /> Street Number Street <br /> City State _ Zip <br /> Phone Alternate Alternate #2 <br /> Census 000001 District Location _ City code <br /> Balances — <br /> 1 to 30 $ 0 . 00 <br /> 31 to 60 $ 0 . 00 Last payment $ 340 . 00 <br /> 61 to 90 $ 680 . 00 Promised Amount <br /> 91 to 120 $ 0 . 00 Sent to collections <br /> 121 Plus $ 0 . 00 <br /> Total Due $ 680 . 00 Prior month ' s balance $ 0 . 00 <br /> Processing Page 1 <br /> F ACCTREC Accounts Receivable <br /> Account ID 0003090 Facility ID 003512 Cross—Ref <br /> Responsible party <br /> PAYMENT <br /> Name <br /> Care Of RECEIVED <br /> Street Number Street AR 2 7 iqqq <br /> City StateSAN-4AQI-j4(R)UiJr — <br /> PUBLIC HEALTH �,ERVICFS <br /> Phone Alternate ErAqRONNIfirafte HVITH Lj61',' _ <br /> Census 000001 District Location _ City code <br /> Balances — <br /> 1 to 30 $ 0 . 00 <br /> 31 to 60 $ 0 . 00 Last payment $ 340 . 00 <br /> 61 to 90 $ 680 . 00 Promised Amount <br /> 91 to 120 $ 0 . 00 Sent to collections <br /> 121 Plus $ 0 . 00 <br /> Total Due $ 680 . 00 Prior month ' s balance $ 0 . 00 <br /> F=Find E=Enter U=Update D=Delete Page 1 4 : 46 : 02p <br /> Account ID : 0003090 <br /> Date P/E Description Type Receipt # Check # Amount <br /> Invoice #002032 $ 0 . 00 <br /> 06/09/93 4630 NTNC PERMIT FEE 350 . 00 <br /> 09/07/93 9997 CORRECTION TO A CHARGE 350 . 00 <br /> Invoice #016876 $ 680 . 00 <br /> 01/11/95 2380 UST BEFORE 1 /84 023 �(�/D .Z 70 . 0 <br /> 01 /11 /95 2380 UST BEFORE 1 /84 03 70 . 00 <br /> 03/15/95 9994 Penalty 340 . 00 <br /> Invoice #008889 $ 0 . 00 <br />