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r'KNJOAQ`U1N C'O'UNTN UStIC HEALTH SERVYCES Report luts ; <br /> lVIROW1EttTAL 1iEALT14 DTVISIG t t me'it Printed : 02/24 (98 <br /> ?n;, c WIFRER AVEt41E — 3-RD FL04W� , <br /> :TOCKTON► CA ;9520" � <br /> ocounting Of ice : e2g9 4FF8-34 � <br /> ¢ <br /> T0 : THORSEN TRUCKING --- <br /> 2248 W TELEGRAPH Account. # 0003354 <br /> STOCKTON , CA 95204-1555 <br /> ATTN : THORSEN TRUCKING FFaciljty .ZD •O37T4 <br /> RE . THORSEN TRUCrING <br /> I :➢ ..TVR.MPIKE _ RD <br /> STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> a rvic =_ Activity <br /> Date DeScr-iptipn rS Employee Amount <br /> Invoice # 044874 -- Datp of Invoice : O1/12/9R _ <br /> *,1 /09/93 2j80 UST PERt9 CLOS!JRE. PLN CHr,K INS 1 'ASS0N <br /> r <br /> 1;15(98 2E30 U�.uT PERt1 CLOSURE PLN C -1C1, /Ttd^ 4 . 0 ..;AS-SON 0 <br /> ___—_.__.__. <br /> Total for this invoice : $156 .00 <br /> _ Payment DUE DATE 03/27/48 <br /> *f-Iti<. INf0iCf, Aae bee,rPaj4 P1eaF+ Risf-ejar4 th?s Nl t;sa <br /> / V <br /> for all S ICE `EES penalties will <br /> Penalties will be added on all Permits be added at the rate of 103 60 days <br /> at the rate of lilt of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : $156 00� <br /> Please make Checks PAYARLF to : PHS/EI1O <br /> *d i <br />