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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Statement Printed : 01/23/96 <br /> ENVIRONMENTAL HEALTH DIV ON <br /> 304 E WEBER AVENUE — 3RD OOR • <br /> p0 BOX *388 <br /> STOCKTON . CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> TO : RIPONA MARKET Account # 0000712 <br /> 223 WASHINGTON <br /> RIPON , CA 95366 <br /> Facility ID 000713 <br /> ATTN: RIPONA MARKET <br /> RE : RIPONA MARKET <br /> 223 WASHINGTON RIPON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description <br /> Hrs Employee Amount <br /> Invoice # 025514 -- Date of Invoice : 01/22/96 <br /> Tank # TA257601 $170 . 00 <br /> 01/22/96 2380 UST Permit Fee Tank # TA267602 $1.70 . 00 <br /> 01/22/96 2380 UST Permit Fee <br /> ------------------------------------- <br /> Total for this invoice: $340 . 00 <br /> payment DUE DATE 02/21/96 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> PAYMENT <br /> RECEIVED <br /> FEB 15 1996 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 11% of the Service Fee <br /> at the rate of lilt of the Base Fee 31 days after the Payment DUE DATE _ <br /> 31 days after the Payment DUE DATE. and EACH 31 days thereafter. <br /> TOTAL DUE this Billing Period: $340 .00 <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ plus <br /> Summary <br /> 340 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br />