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SRN JOAQUIN CgUNTy PUBLIC HEALTH <br /> Statement <br /> SION <br /> ENVIRONMENTAL HEALTH 3ROIFLggR <br /> 30.4�EUNE5ER AVENUE <br /> pp Box 388 <br /> STOCKTON . CA 95201-0388 29468--3420 <br /> Acccunti-n9 gffice.:, <br /> 3: r-I + . <br /> TO : CARPENTER COMPANY INC Account # ®000209 <br /> Pq BOX 279 <br /> LATHROP. CA 95330 <br /> Facility 10 - 00021@ <br /> MC.0 ,PAN <br /> RE : CARPENTER,, .- <br /> 1L A N R€1' `LAT <br /> PLEASE RETURN a COPY of THIS STATEMENT With YOUR PAYMENT <br /> Service Activity <br /> Date Description <br /> Hrs Employee Amount <br /> Invoice # 025491 -- Date of Invoice: 01/22/96 # TA158701 X170 . 00 <br /> 01J22/96 2380 UST Permit FeeTank------------------ --- ------ ---�_. <br /> Total for this invoice: $1T8. 00 <br /> Payment DUE; DATE: @2/71/96 <br /> If this INVOICE has been Paid, Please Disregard this Notice . <br /> a <br /> .. PAYMENT <br /> F F B 2 x- 1996 <br /> .: <br /> - � .,.� : AAf fC�Ai�U1N COUN.14 . <br /> �;;3- _ -.�,�.,�,�..�.. � -...�.�,� . ...�.-_��.,•,, w-- ,,,,,��,.,.•.,.�;:�,.�RU' C HE;��.'i'HSERV�CES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> a <br /> r 4 4y <br /> PENALTIES for all FEE for SERVICE will41 ASSESSED <br /> PENALTIES will be ASSESSED on all J NMUAL PERMITS at the rate of 11t of the Service Fee <br /> It the rate of 111% of the Rise Fee 31 days after the Paysent DUE DATE <br /> 31 days after the Payi1ent DUE DATE. and EACH 31 days thereafter, <br /> TOTAL DUE this Billing Period: X170.00 <br /> Account 1-30 Drays 31--60 Days 61-90 Days 93-120 D;al 121+ Plus <br /> Summary <br /> 170 . 00 0 . 00 0 .00 0 . 00 0 . 00 <br />