Laserfiche WebLink
`n u11'd COUNTY PUBL HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIJWION <br /> 304E WEBER AVENUE 3RD FLOOR ement Printed : <br /> Report lS2SS <br /> PO BOX 388 12/18/96 <br /> "TQC-KT03J, CA 95201-0388 <br /> Accounting Office , 209 468-3420 <br /> .E.. a...Y .k " Co J., <br /> TO : GENERAL MILLS <br /> CALL BOX 3002 _ <br /> LODI , CA 95241-1906 Account410003469 <br /> ATTN : TECHNICAL SERVICES MGR — — <br /> Facility TD 00388 <br /> RE : GENERAL f1ILl" <br /> 2'0100 lJ -TURNER - RD LODT ' „ ` <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> [Date Description <br /> Service Activity �- <br /> - _ Hrs Employee Amount <br /> 034601 <br /> Invoice # — Date of Invoice: 12/17/96 ►`L0* <br /> 12/17/96 2380 UST Permit Fee w� �l�� Q/1LLP� <br /> Tank # TA138103 <br /> ----------- __ 6110 . 00 <br /> Total for this invoice: — _ <br /> $170 . 00 <br /> If this INVOICE has been Paid, Please Disregard this Notice . 0 <br /> Payment DUE DATE 1/18/97 <br /> PA YMENy <br /> I�IEA^�B!✓�63 <br /> JAN 1 1997 _ <br /> - SAN do <br /> ' ENVI PUSLI NEA 4TH SE VICES <br /> IVTAL HEALTH DIVISION <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe PENALTIES for all FEES for SERVICE will be ASSESSED <br /> at the rate of III% df the Base Fee at the rate of 18% of the Service Fee _ <br /> 30 days after the Payment DUE DATE. 30 days after the Payment DUE DATE <br /> and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period: <br /> $170 .00 <br /> Please Make CHECKS PAYABLE to: nr.• r =�� <br /> $170 . 0@ <br /> $170 . 00 <br /> Balance 61 <br /> 30 days 31 to 61 days 61 to 90 days 91 to 124 days ) 120 days Account <br />