Laserfiche WebLink
SAh j Report 15255 <br /> ENS ���/99 • ment Printed : 01/29/99 <br /> 301 <br /> Acc u <br /> Account # 0000712 <br /> � Facility ID 000713 <br /> LGJ W Wf�JlI111V 1 VIl <br /> RIPON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 053988 -- Date of Invoice : 01/28/99 <br /> 01 /28/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 01/28/99 2380 UST Permit Fee Tank # TA257601 $170 . 00 <br /> 01 /28/99 2380 UST Permit Fee Tank # TA257602 $170 . 00 <br /> ------------------------------------- <br /> Total for this invoice : $350 . 00 <br /> Payment DUE DATE 03/01/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> '/9Al, 7RAA ( eYot <br /> 04,p �� <br /> '51�0/7 77`1 <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 111 60 days <br /> at the rate of illi of the Base Fee 31 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: $350.00 <br /> Please make Checks PAYABLE to: PHS/EHD <br /> 0 0 <br />