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SAN J MQ LIN OUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> E'NVIRQNMENTAL HEALTH DIVIRON <br /> 445 N SAN JOAQUIN STREET <br /> PO SOX 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-0340 <br /> C'_' Cw C:i l.9 1-1 't:: r t:: i.=:A t.: rC "I co W,1 't: <br /> TO : RIPONA MARKET <br /> 223 W, WASHINGTON Account # 0000712 <br /> RIPON , CA 95366 <br /> ATTN : RIPONA MARKET Facility IO 000713 <br /> RE : RIPONA MARKET Billing Date: 01/11/95 <br /> 223 WASHINGTON RIPON <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> :] <br /> Invoice # 016807 -- Date of Invoice: 01/11/95 <br /> 01/11/95 2380 Under-ground Tank Permit Fee ? $170 . 00 <br /> 01/11/95 2380 Underground Tank Permit Fee ;ZS 7 �01R $170 . 00 <br /> ------------------------------- <br /> Total for this invoice : $340 .00 <br /> If this INVOICE has been Paid , Please Disregard this Notice . . . <br /> . . and DEDUCT the Amount Paid from the TOTAL DUE <br /> Penalties will be added on all PERMIT FEES <br /> at the rate of 100% of the Base Fee <br /> 60 days after the invoice date . <br /> For all SERVICE FEES penalties will <br /> be added at the rate of 10% <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> TOTAL DUE this Billing Period: —T$34O�OO <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 />