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JVrY I �rJ,../nmay L t 4 n h L I n <br /> - ISION atement Printed : 02/05/9c <br /> _6EL'Et:'JE FLOOR <br /> . 38E <br /> vKTON , = 1 95201-0388 <br /> Accounting 3 "fice : 209 458-3420 <br /> I <br /> TO : PORT OF STOCKTON <br /> PD BOX 2089 Account # 0003498 <br /> STOCKTON, CA 95201 <br /> ATTN: PORT OF STOCKTON [__Facility YD 0039051 <br /> RE-: PORT, OF STOCKTON V <br /> { <br /> 2261 W WASHINGTON STOCKTON <br /> PLEASE RETURN a COPY-of-111S STATEMENT with YOUR PAYMENT- <br /> Service- Activity <br /> Date---- ®escription Hr.s Employee Amount <br /> 'Invoice # 626439 Date of Invoice,'"02/05196 2301 LIST 02J65/S6 <br /> r. ec_ Fee_.;.. Tank # TA!` <br /> - g 128207 <br /> 02/05/96 2361 UST State Surcha <br /> 9 Tank # TA 128208 X56-�00 <br /> ----- -___ <br /> Total for this- invoioe:- -- 112; O- <br /> Payment <br /> .60 <br /> PaymentrDUE DAT Ii 6J�6 <br /> It'this INVOICE IR'S 66tH Paid. Please Disregard- this NotiC . . -.-,(3/9 <br /> , I <br /> 1; <br /> PAYMENr <br /> FEB 201996 . <br /> r x .,` FLa'aLIC HEi�LTH 5�7��. a <br /> r V'1"R0Nh4ENT4L HE4LTRVICES <br /> i <br /> H DIVISION <br /> 7 <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES iiln be ASSESSED on all ANNUAL PERMITS <br /> at L'�e rite of 1103 of the Base Fee at the rate of lit of the Service Fee <br /> 31 daps after the Payment DUE DAIS <br /> w <br /> 31 [Nps after the Payment DUE DATE, and EACH 31 daps thereafter. <br /> TOTAL DUE this Billing Period: $112. 00 <br /> Recount 1-30 Days 31-60 Days :1-90 Days 91- 120 Days 121+ Plus <br /> Summary. <br /> 452 . 00 0 _ 00 0 . 00 0 . 00 @ . 00 <br /> E <br />