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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES — <br /> ENVIRONMENTAL HEALTH DIVISIONReport 15255 <br /> 304 E WEBER AVENUE — 3RD FLOOR �D,' DA rj�e nted : 09/21 /98 <br /> STOCKTON, CA 95202 <br /> Accounting Office : 209 468-3420 <br /> Mau 0" bew'C <br /> TO : <br /> <br /> Account 0012401�lvc"V v <br /> ATTN: UNION SAFE DEPOSIT BANK <br /> _ 1 ✓VJ "� Facility ID 007617 <br /> RE : HICKINBOTHAM BROS ( FORMER) �-{� <br /> 635 S AURORA ST —� l/ <br /> STOCK7ON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT ��J <br /> Service Activity 4 <br /> Date Description Hrs Employee Amount <br /> Invoice # 049254 -- Date of Invoice : 07/10/97 <br /> 07/07/97 2950 FIELD CONSULT 1 . 0 SASSON $78 . 00 <br /> 07/08/97 2950 REPORT REVIEW 1 . 0 SASSON $78 . 00 <br /> 07/09/97 PAYMENT $-234 . 00 <br /> 07/21/97 2950 CONSULTATION 0 . 5 SASSON $39 . 00 <br /> 07/28/98 2950 REPORT REVIEW 0 . 5 02 $39 . 00 <br /> 08/03/98 2950 REPORT REVIEW 1 . 5 OZ $117 . 00 <br /> ------------------------------------- <br /> Total for this invoice: $117.00 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATF 10/22/98 <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 10Y 66 days <br /> at the rate of 1002 of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: $117 .00 <br /> Please make Checks PAYABLE to : PHS/EHD <br /> Z <br />