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SAN JOAQUIN COUNTY PUBLNw'HEALTH SERVICES Report #5255 <br /> ENVIRONMENTAL HEALTH DIVISION - ,J- <br /> 445 N SAN JOAQUIN STREET <br /> PO BOX 388 <br /> STOCKTON, CA 95201-0388 A m <br /> Accounting Office: 209 468-0340 �-- — <br /> Account Sta E±rit <br /> TO: PACIFIC BELL <br /> <br /> <br /> ATTN: PERMIT DESK Facility ID 003958 <br /> RE : PACIFIC BELL Billing Date: 01/27/95 <br /> 1413 BOURBON ST STOCKTON <br /> FSRASE RETURN THIS STATEMENT WITS YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 017124 -- Date of Invoice: 01/11/95 f <br /> 01/11/95 2380 Underground Tank Permit Fee �U / $170 . 00 <br /> 01 /11/95 2380 Underground Tank Permit Fee $170 . 00 <br /> 01 /15/95 CORRECTION TO A CHARGE( 1 TANK REMOVED) $-170 . 00 <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 /> PAYS'=t}p,r-,;j.,d., <br /> a�ppoo ti _u.... <br /> R*-CF-U'vt''.rA <br /> FER <br /> S.-y'NjOft'IN <br /> PUS C HEALTh <br /> EN <br /> R.Iv,4FNTAL tici',LT� <br /> 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 /> For all SERVICE FEES penalties will <br /> be added at the rate of 10% <br /> 60 days past the invoice date . and <br /> each 30 days thereafter . <br /> TOTAL DUE this Billing Period: 5170.00 <br /> Account1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary <br /> ll 11 11 11 <br /> 170 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br /> %-W- �ftw <br />