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SAN:...30AQUIN COUNT-Y PUBLIC HEALTH SERVIC.ES�, : _N Report. #5255; <br /> EN1TFOhdMENTAL HEALTH DIVISION 1._ t PrznCg;d : 0.9/22/99 <br /> 354 E WEBER AVENUE. = 3RD FLOOR •`:." <br /> STOCKTON, CA -9.5202 <br /> Ac'counting -Office : 209 468 -34'20 <br /> T'0 : CARPENTER COMPANY.-.'INC::.. . <br /> PO BOX 279 Account # 0000209 <br /> . LATHROP ' CA 95330 � .V------ i <br /> , <br /> Facility TD 00021 i <br /> RE : CARPENTER COMPANY INC <br /> 1.7140 .S--HAR-LAN:`R0 -'.:, ._ - <br /> LATHROP t <br /> .PLEASE RETURN a COPY of THIS STATEMENT with YOy���p1l33PA jR,ENT� <br /> .l.�a <br /> Service Activity <br /> Lute Desc-r•d7ption - /r' S. Hrs Employee AmcLint . <br /> Invoice 0SA534 Date�of Invoice : 09j21/99 <br /> 08/04 /99 2547 OT COMPLAINT 2 . 0 F0LEY . $234 . 0.0 i <br /> 08 /04 /99, 2546 : Eme' rgency'-Response Activity 2 . 0 ,—+�OLEY $15b . 0i}: i <br /> Total�f t4isTlnvo"icer $390 .00 <br /> .:_.. Pent DUE '"DATE 10/23/99 <br /> If this INVOICE has been-Paid, .Please Disregard this Notice .'.., <br /> 40 <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Pernits be added at the rate of 10% 60 days <br /> at the rate of 100% of the Base Fee 36 past invoice -date and each '30 days <br /> days after the due date. thereafter. <br /> TOTAL:, DUE this Billing Period : $390 . 00 <br /> Please make Checks PAYABLE to : PHS/EHD - <br /> LAN JOA�.1JR!CQi. i ; <br /> PUBLIC HEALTH 5&Wr CES <br /> ENVIRONMENTAIL HEALuii CAVIZ <br /> SEP .2 8 1999 <br /> q <br /> 33:0 i- a. <br />