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CORALLO - MOODY, INC. <br /> —Invoice t- + ----Description--+----J•---- 1 05732 <br /> 52555 LST PERMIT FEE-6A5 TANKS t 340.00 I <br /> Service Activity <br /> Date <br /> Description Hrs Employee Amount <br /> Dt <br /> Invoice # 026384 • -- Date of Invoice : 02/05/96 <br /> 02/05/96 2301 UST State Surcharge Fee Tank # TA173601 $56 . 00 <br /> 02/05/96 2301 UST State Surcharge '.jFee Tank # TA173502 $56 . 00 <br /> --------------------------- <br /> ` <br /> Total for this invoice : $112 . 0 <br /> Payment DUE DATE 03 06/96 <br /> b If this IIVOICE has been Paid, Please Disregard this Notice . , . <br /> PAYMENT <br /> ,1 <br /> MAR -. 1 1996- <br /> PL}AN JCA;. ru�;( lr,j <br /> ENVI ELIC HEAL T H SERVICES <br /> RONtWENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 10% of the Service Fee <br /> at the rate of 100% of the Base Fee 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period: 12:.00 <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ plus <br /> Summary <br /> 452 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br />