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SAN JO UIN COUNTY PUBLIC HEQITH SERVICES 13eport <br /> ENS►kUNM1ENTAL HEALTH D I V I S I <br /> 445 N .SAN JOAQU I N <br /> NO BOX 2009 <br /> STOCKTON, CA' 95201 209-466-0340 <br /> to C c:. ca 'r_.a. t E3 t: tb m C-_ a-► <br /> Account # Date <br /> TO: LAKESIDE <br /> 1210 W TURNER RD +Zi+d035:3�18 04/1X1/94 <br /> LLID I, CA 95240 LL,- --_ _ _ <br /> ATTN: LOWRY, DANIEL. D Facility ID <br /> R- E: LAKESIDE � 00,3933 � <br /> 1210. W TURNER RD LODI <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMM <br /> Health <br /> lDate Program Description Amount <br /> Previous Balance 1, 364. 00 <br /> Invoice #000033 -- Date of Invoice: <br /> 04/12/93 9900 UST i="f-_:ES 3, 564. 00 <br /> 05/03/93 9999 PAYMENT -300. 00 <br /> 06/17/93 9997 CORRECTION TO A CHARGE -600. 00 <br /> 06/03/93 9999 PAYMENT -300. 00 <br /> ViEsf 10/93 9999 PAYMENTvi -Br0. 00 <br /> 06/17/93 9999 PAYMENT %14 '-220. 00 <br /> 10/15/93 9999 PAYMENT � z 'egg -300. 00 <br /> 11/30/93 9999 PAYMENT Qtj ���NGc�r�R���� � _300. 00 <br /> 01/24/94 9999 PAYMENT jpPQ \1�� ��y��4� -1t?`0. 00 <br /> . <br /> � <br /> 02/`4/94 5999 PAYMENT P��try����"W �� 100. 00 <br /> x '11 ` Fo . ti-,is invoice : 1, 264. 00 <br /> _4? 1C3Q .d(3 <br /> fAL— <br /> PENALTTES on all PERMITS FEES will he assessed at the rate of 100^4 <br /> of the. Base Fee . a:VIQ Wt 60 days after the INVOICE DATE <br /> 1-3.0.-Days 31-60 Da �IA Days 51 •~1 0 Days 121+ Plus Amount Dere <br /> .. _ <br /> 0. 00 0. 00 -- 0. 00 G�---- 0. 00 1, 264. 00 w $ 1, 264. 00 <br /> PENALTIES for, all SERVICE FEE billing will be assessed at the rate of <br /> 40Y- of -the- unpaid Invoice Balance 60 d-ays after the INVOICE. 17ATE aoi-d <br /> each 30 days thereafter- <br />