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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> ENVIRONMENTAL HEALTH DIVIw Nj. <br /> 445 N SAN JOAQUIN STREET • <br /> PO BOX 388 <br /> STOCKTON, CA 95201-0388 <br /> Accounting Office. 209 466-0340 <br /> Account St at emeratt <br /> TO: MAIN STREET BEACON #474 — <br /> 3440 E MAIN ST r Account, # 0009105 <br /> STOCKTON, CA 95205 — <br /> ATTN: SCHAIL HAFAIZ I Facility ID 006423 <br /> RE: MAIN STREET BEACON #474 Billing Date: 08/23/94 <br /> 3440 E MAIN ST STOCKTON <br /> PLHASR RETURN THIS STATRMRNT WITH YOUR PAYNHNT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 008828 -- Date of Invoice: 03/11/94 <br /> 03/11/94 2380 Underground Tank Permit Fee S170 .00 <br /> 03/11/94 2380 Underground Tank Permit Fee S170 . 00 <br /> 03/11/94 2380 Underground Tank Permit Fee 5170. 00 <br /> 06/15/94 Penalty 0 <br /> ------------------------- --------- <br /> Total for this invoice.: <br /> PAYMENT <br /> RECEIVED <br /> AUG 2 5 1994 <br /> SAN JOAQUIN COUNTY <br /> Penalties will be added on all PERMIT FEES PUBLIC HEALTH SERVICES <br /> at the rate of 100% of the Base Fee P:NVIRONMENTALHEALTHDIVISIQn <br /> 60 days after the invoice date . <br /> or all :SERVI E^F'EES penalties will! �t��;HOY <br /> + r bek4 6b the rate of 10% <br /> E' 601 ays past the invoice date and <br /> each 30 days thereafter. 4 o <br /> Amount Due this Billing Period: $1 , 02fl,00 <br /> Account 1-30 Days31-60Days +u 63-90 Uays 91 120 Days 121+ Plus <br /> Summary — <br /> 0 .00 -1.50 . 00 0 . 00 0 . 00 1 , 020 .00 <br />