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tNVIKNMENTAL HEALTH DIVISION Statement Printed : 01/23/96 <br /> ?04 E WEBER AVENUE — 3RDOOOR <br /> _ PO BO U 388 <br /> STUCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> = nvoicc3 <br /> TO : CONNELL MOTOR TRUCK CO <br /> 2211 N WILSON WAY Account # 0003272 <br /> STOCKTON, CA 95208 <br /> ATTN : SHELDON HECKMAN Facility ID 0036 9 <br /> RE : RIVER CITY PETROLEUM CARDLOCK <br /> 2211 N WILSON WAY STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 025647 — Date of Invoice: 01/22/96 <br /> 01/22/96 2315 UST Permit Fee Tank # TA130405 $170 .00 <br /> 01/22/96 2315 UST Permit Fee Tank # TA130406 4�7 <br /> / / ermit Fee Tank # TA130407 01 22 96 2315 UST P ----------------------------Total for this ' Invoice: <br /> Payment DUE DATE <br /> If this INVOICE has been Paid, Please Disregard this Notice . <br /> I/9a/ <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 112 of the Service Fee <br /> at the rate of If#% of the Base Fee 31 days after the Payment DUE DATE ` �q lull <br /> 31 days after the Payment DUE DATE. and EACH 31 days thereafter. <br /> TOTAL DUE this Billing Period: $510.00 <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary <br /> 510 . 00 0 . 00 0 . 00 0 . 00 0 .00 <br />