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thr; <br /> 5 J UAQUIN CbUNtY PUBLIC HEALTH SERVICES <br /> Report 15255 j <br /> 1` 1---eNVIRONMENTAL HEALTH DIVISION Statement Printed : 01/29/99 <br /> 304 E; WEBER AVENUE — 3RD FLOOR <br /> STOCKTON , CA 95202 <br /> Accourytlnr YA Office : 209 968-3420. <br /> r <br /> E <br /> TO : CARPENTER COMPANY INC <br /> PO BOX 275 Account #_ 0000259 <br /> I� LATHROP, CA 95330 <br /> f r <br /> Facxl <br /> ' ty TD 800210 <br /> RE :.� RPENTER COMPANY INCA <br /> y�'0,`0• <br /> s / ` ATHR0P •. y <br /> P,L �1SE RETURN <br /> of THIS STATEMENT uitir YOUR PAYMENT <br /> Service Activity _ <br /> Date Description Hrs Employee Amount <br /> Invoice # 053963 --- Date of Invoice : 01/28/99 <br /> 01/28/99 2360 UST Permit Fee Tank # T 5. 701 $170 . 00 <br /> 01/28/99 2399 UNIFIED PROGRAM FAC STATE: SERVICE FE $lpi , <br /> Total for this invoice: $180,05 <br /> Payment DUE DATE 01/99 <br /> If this INYDICE has been Paid, Please Disregard this Notice <br /> t <br /> .Z <br /> b <br /> FES � 81 <br /> 999 . <br /> h�q� pr SrQ . <br /> k <br /> r <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all PerMlts be added at the rate of lot 60 days ' <br /> at the rate of loot of the Base fee 31 past invoice date and each 31 days <br /> days after the due date, thereafter. <br /> TOTAL DUE this Billing Period: $180.58 <br /> 3 <br /> Please make Checks PAYABLE to: PHS/E:HD ' <br /> JRECEIV EID FE8 0 4 103 <br /> 117� 33� <br />