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� <br /> SAN J0AQUIN COUNTY PUBLICAIkEALTH SERVICES Report #5256 <br /> ENVIRONMENTAL HEALTH DZVI���0N <br /> �� <br /> 445 N SAN JOAQUZN STREET <br /> PO 8OX 388 <br /> STOCKTON , CA 96201-0388 <br /> Accounting Office : 209 468-0340 <br />� <br /> k� �n '� �� '� aa '� e� n� «e �� <br /> T0 ; BLU[ STAR <br /> P0 BOX 30185 Account # 0003142 <br /> STUCKT0N ° CA 95223 <br /> ATTN : DAVID 8REGANTE [F��ac:j�lity�ID �O035�64 <br /> RE : BLUE STAR Billing Date : 09 /13/9A <br /> 4040 E MAIN ST ST0CKTON <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 008494 -- Date of Invoice : 03/11/94 <br /> 03 /11 /94 2380 Underground Tank Permit Fee $170 ' 00 <br /> 03 /11 /94 2380 Underground Tank Permit Fee *170 ' 00 <br /> 03 /11 /94 2380 Underground Tank Permit Foe $170 ' 00 <br /> 00 <br /> 06 /15/94 Penalty $510 . 00 <br /> -------------------------------------- <br /> Total for this invoice : $1 , 020 '00 <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 rata of 10% <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> Amount Due this Billing Period : [=$1=1020 -00 <br /> Account [71—�30 Days- F31-60 [Days F61-90 Days 91-120 Days[121--t�=Plus <br /> Summary <br /> 0 , 00 0 ' 00 0 ' 00 0 ' 00 1 , 020 ' 00 <br />