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I <br /> SAN JOAUIN ,.COUNTY PUBLIC 'tALTH SERVICES, Report #5255 <br /> tNVIROAMENTAL HEALTH OIVI(..)N <br /> 445 N SAN JOAQUIN STREET <br /> PO BOX 388 <br /> '.TOCKTON , CA 95201--0388 + <br /> Accounting Office : 209 468-0340 j <br /> I1 C.: C:S T.'J 0....A r.d 1... C.:: t.: al 'M::::: e:-re•l e�* r t:. <br /> { <br /> TO : WOOD , CLAUDE C I <br /> 3209 W 76TH STAccount # 0009163 ' <br /> MINNEAPOLIS , MN 55435-5246 <br /> Facility ID006730 <br /> RE : WOOD , CLAUDE C Billing Date: 11/01 /94 <br /> 5$1 E LOCKEFORD__- LOOS ---- - ---- -- - <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> Service Activity y I <br /> �j Date Description Hrs Employee Amount <br /> Invoice A 015241 -- Date of Invoice: 11/01/94 <br /> 01 /01 /90 UST FACILITY FEES $100 . 00 <br /> 01 /01 /90 UST TANK FEES $50 . 00 <br /> 03/01/90 UST PENALTIES ( FACILITY) PAYMENT $100 . 00 <br /> 03/01/90 UST PENALTIES (TANK) $50 . 00 <br /> 01 /01 /91 UST TANK FEES RECEIVED $170 . 00 <br /> 03/01 /91 UST PENALTIES (TANK ) 2 1 1994 <br /> 01 /01/92 UST TANK FEES NOV UIMnr'c0u1W $170 . 00 <br /> 03/01 /92 UST PENALTIES (TANK) P gLICN�LNH5111, <br /> 01 /01 /93 UST TANK FEES 1 ENVIR9Nh1 "EALHEAITHDIVISTON $170 . 00 <br /> $170. 00 <br /> 03 /01/93 UST PENALTIES (TANK ) $170 . 00 <br /> 01/01f94 UST TANK FEES $170 . 00 <br /> 03 /01 /94 UST PENALTIES (TANK ) $170 . 00 <br /> Total for this invoice : $1 , 660 .00 <br /> Tf this INVOICE has been Paid , Please Disregard this Notice . . . <br /> and DEDUCT the Amount Paid from the TOTAL DUE <br /> ?-3 6D <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: $1 , 560 . 0 <br /> Account 1-30 Days 261-90 Days 9' 20 Days 121+ Plu <br /> Summary .__��� <br /> 1 , 831 . 60 -307 . 00 112 . 00 0 . 00 0 .00 <br />