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'" ' umyvlN I,UVNIY PUBLIC HEALTH SERVICES.. Report #5255"' � <br /> FRVIRONMENTAL HEALTH DIVT- ' N `' <br /> 445 NVSAN rJQAQUIN STREET �/ l y� <br /> PO"- Box"e88 <br /> STOCKTON, CA 95201-0388 <br /> Accounting Office : 209 468-0340 I <br /> I <br /> e:. rn er-r t-- <br /> TO : <br /> :T0 : HENIZ USA _ I <br /> PO BOX X57 Account # 000278 <br /> TRACY , CA 95$76 ; <br /> ATTN : HEINZ USA _ Facility ID 003214 <br /> R-E: HEINZ USA- DIV- OF- HEIN-Z -CO - - -- Billing Date:-- 01 /11/95 <br /> 757 E 11TH TRACY <br /> I <br /> I <br /> PLEASE RFiifRN -THIS STATEMENT WITN YOUR PkiNENT --�- - I <br /> I <br /> Service Activity <br /> Date iDescription Hrs Employee i� Amount I <br /> Invoice # 016870 -- Date of Invoice : 01/11/95 <br /> 01 /11 /95 2380 Underground Tank Permit Fee 506'a?VX $170 . 00 <br /> ---------------------------------- <br /> Total for this invoice : 6170.00 <br /> If this INVOICE has been Paid , Please Disregard this Notice . . . <br /> . . . and DEDUCT the Amount Paid from the TOTAL DUE <br /> PAYMENT <br /> RECEIVED <br /> JAN 3 0 1995 <br /> ISL' � AN jc)&( COUNTY <br /> �7�V <br /> ?0VWV WTH SFRVIC <br /> (r0VWVS <br /> /► I� eN? �NTAIVjL �JHpry�SloN <br /> ! I /Penalties will be added on all PERMIT FEES <br /> at the rate of 100% of the Base Fee <br /> (� 60 days after the invoice date . <br /> InyYll` For all SERVICE FEES penalties will <br /> ��qq9 be added at the rate of 10% <br /> U 60 days past the invoice date and <br /> WWW✓✓ each 30 days thereafter . <br /> TOTAL DUE this Billing Period : 5170 .00 <br /> Account 1- 30 Days 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary <br /> 170 . 00 0 . 00 0 . 00 0 . 00 -39 . 00 <br /> I <br /> i ' <br />