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3oAguiN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> ENVIRONMENTAL HEALTH DIVISI�&q Stat ent Printed: 08/22/96 <br /> 304 E WEBER AVENUE - 3RD FgFR <br /> PO BOX 388 <br /> STOCKTON, CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> = nv o 1 c t-- <br /> TO: <br /> TO: LAKESIDE SNO WHITE DR INN <br /> 1210 W TURNER RD Account # 0003538 <br /> LODI , CA 95240 —� <br /> ATTN: LOWRY, DANIEL D Facility ID 003933 <br /> RE: LAKESIDE SNO WHITE DR INN <br /> -. 1210 W TURNER RD LODI <br /> PLEASE RETURN a COPY of TRIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> i <br /> Invoice # 000033 -- Date of Invoice: 05/21/93 <br /> 04/12/93 UST FEES 53 , 564 . 00 <br /> 05/03/93 PAYMENT $-300 . 00 <br /> 06/17/93 CORRECTION TO A CHARGE $-600 . 00 <br /> 06/03/93 PAYMENT $-300 . 00 <br /> 08/10/93 PAYMENT $-80 . 00 <br /> 08/17/93 PAYMENT PAAAE-"T S-220 . 00 <br /> 10/15/93 PAYMENT RECEIVED $-300 . 00 <br /> 11/30/93 PAYMENT S-300 . 00 <br /> 01 /24/94 PAYMENT $-100 . 00 <br /> 02/24/94 PAYMENT r,UN 16 1997 $-100 . 00 <br /> 09/0401R4 PAYMENT $-100 . 00 <br /> 1 /26/94 PAYMENT SAN JOAOum 000�47ry <br /> 02/15/96 PAYMENT(APPLY CREDIT FROM INV#004118 ) PUBCHEAL IHSEPVICS HEALTH DIV5-100 . 00 <br /> 5-6 . 40 <br /> 03/02/n6 PAYMENT <br /> ENVIRONMENTAL 'S S-6 . 40 <br /> $-50 . 00 <br /> 06/21/96 PAYMENT $-50 . 00 <br /> Total for s invoicer <br /> .60 <br /> DUE <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> PENA ES for all FEES for SERVICE PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe a rate of 108 of the Seat the rate of 1008 of the Base Fee 30 da <br /> 30 days after the Payment DUE DATE. and RACE 30 days thereafter. <br /> TOTAL DUE this Billing Period: 5957 .60 <br /> Please Make CHECKS PAYABLE to: PH S / ' H D <br /> I 50 . 00 S0 . 00 <br /> $0 . 00 $0 . 00 $957 . 60 $957 . 60 <br /> 0 to 30 days 31 to 60 days 61 to 90 days 91 to 120 days > 120 days Accoant <br /> Balance <br /> 0 <br />