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SAN JOAQUIN COUNTY PUIBLII EALTH SERVICES Report #5255 <br /> ENVIRONMENTAL HEALTH DTVI <br /> 445 N SAN JOAQUIN <br /> PO BOX 2009 <br /> STOCKTON, CA 95201 209-468-0340 <br /> Account # Date <br /> TO: LAKESIDE <br /> 1210 W TURNER RD00=035,33HL2�=I/ )3 <br /> LODI, GA 95240 <br /> ATTN; LOWRY, DANIEL D Facility ID <br /> RE: LAKESIDE <br /> 1210 14 TURNER RD' LODI <br /> PLEASE RETUWJ THIS STATEMM kdTH YOUR PAYYaT <br /> Health <br /> Date Program DescriptionAmount <br /> Previous Balance 0 <br /> Invoice #000033 -- Date of Invoice: 05/21/93 <br /> 06/17/93 9997 CORRECTION TO A CHARGE PAYMENT U '00- OL <br /> 0 <br /> 04/12/93 9900 UST FEES RECEIVED 564. 0300. 00 <br /> 05/03/93 9999 PAYMENT <br /> 06/03/937 9999 PAYMENT JAN 2 0 1994 -300. 00 <br /> 08/10/93 9999 PAYMENT OA !;AN 3()AQUIN (;()LINTY -80. 00 <br /> 08/17/93 9999 PAYMENT PUBLIC HEALTH SERVICES -220. 00 <br /> 10/15/93 9999 PAYMENT ENVIRONMENTAL HEALTH DIVISION -300. 00 <br /> 9999 PAYMENT _600. 00 <br /> Total for -this invoice: 1, 464. 00 <br /> Invoice #002069 -- Date of invoice: 06/09/93 <br /> 06/09/93 1623 - FOOD 1-20 SEATS PERMIT FEE 220. 00 <br /> 06/ 10/93 9999 PAYMENT 1410 <br /> lotal for this invoice : 0. 00 <br /> PEIIALTIES on all PERMITS FEES will be assessed at the rale of 100% <br /> of the Base Fee amount 60 days after the INVOICE DATE <br /> 1-30 Days + Pluq Amount Due <br /> 31-60 Days 61-90 Da s 91-120 121 <br /> l <br /> 0. 00 0. 00 0. 00 0. 00 1, 464. 11,0 $ 1. 464. 00 <br /> PENALTIES for all SERVICE FEE billing will be assessed at the rate of <br /> 10% of the unpaid Invoice Balance bO days after the INVOICE DATE and <br /> each 30 days thereafter <br />