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SAN JOAQUfN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> ENVIRONMENTAL HEALTH DIVISI Stat ent Printed : 05 /17/96 <br /> 304 E WEBER AVENUE - 3RD F . <br /> PO BOX 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> TO : LAKESIDE SNO WHITE OR INN -� <br /> 1210 W TURNER RD Account # 0003536 <br /> LODI , CA 95240 <br /> ATTN : LOWRY , DANIEL D Facility ID 003933 <br /> R.E:, LAK'E6ZOEN-0 <br /> 1210 W TURNER RD LODI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYNENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 000033 -- Date of Invoice : 05/21/93 <br /> 04 /12/93 UST FEES $3 , 564 . 00 <br /> 05/03/93 PAYMENT $-300 . 00 <br /> 06/17 /93 CORRECTION TO A CHARGE $-600 . 00 <br /> 06/03/93 PAYMENT 9�AyMENT $-300 . 00 <br /> 08/10/93 PAYMENT PrCEIVEID $-'80 . 00 <br /> 08/17/93 PAYMENTJUN 31996 $-220 . 00 <br /> 10/15/93 PAYMENT $-300 . 00 <br /> 11 /30 /93 PAYMENT $-300 . 00 <br /> 01/24 /94 PAYMENT SANJOAOUINCOUNIY $-100 . 00 <br /> 02/24 /94 PAYMENT P1.RLICHFALTHSE4VICES $-100 . 00 <br /> 09 /04 /94 PAYMENT _ EP";.<ONMENTAL HEALTHD'vtaiv•: $-100 . 00 <br /> 50/26 /'9-4 PAYMENT $-100 . 00 <br /> 02/15 /96 PAYMENT ( APPLY CREDIT„ FROM INV#004118) $-6 . 40 <br /> 03/02/96 PAYMENT $-50 . 00 <br /> - ---------'--------------- <br /> -----s....Ra...-._;: <br /> Payment PAST DUE <br /> If this INVOICE has been Paid, Please Disregard this Notice . <br /> �;o . <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all at the rate of 11% of the Service fee <br /> at the rate of 1001 of the Base Fee \� 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. A ''�l7and EACH 30 days thereafter. <br /> /115�'�D�E this 13 00Ying Period: _ $1 ,007 .60 <br /> t <br /> Account 1-30 Days 31-60 pays] 61-90 Days 91-120 Da s <br /> _ i i <br /> 121+ Plus <br /> Summary I � Y _ <br /> 0 . 00 0 . 00 0 . 00 0.. 00 1 , 007 . 60 <br />