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SAN -OAQL N COUNTY PUBLIC HEALTH SERVICES Report 45255 <br /> E1tVl NNE�ITAL HEALTH DIV ON Stment Printed : 02/05 /96 <br /> 304 WEBER AVENUE — 3RD OOR <br /> PO BOX 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> [: r-o NV c:' _iC.. c: ge <br /> I <br /> G TO : STOCKTON EAST WATER DISTRICT <br /> PO BOX 5157 Account # 0003657 <br /> STOCKTON , CA 95205 _ <br /> ATTN : STOCKTON EAST WATER DISTRICT Facility TO 004024 <br /> RE : STOCKTON EAST WATER DISTRICT <br /> 6767 _E MAIN ST__.SS.QCKTO_N_._-- -_ ..,__ � <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Empoyee `+ Amount <br /> Invoice OF 026476 -- Date of Invoice : 02/05/96 <br /> 02/05/96 2301 UST State Surcharge Fee Tank # TAIS5601 $56 . 00 <br /> 02/05/96 2301 UST State Surcharge Fee Tank # TA185602 $56 . 00 <br /> 02/05/96 2301 UST State Surcharge Fee Tank # TA185603 $56 . 00 <br /> ------------------------------------- <br /> Total <br /> ----------------------------------- <br /> Total for this invoice : $168 .00 <br /> Payment DUE DATE 03/06/96 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> PAYMENT <br /> IRECEGVEn <br /> MAR 111996 <br /> SAN JOAOUIN CSL �d <br /> PUBIC HEALTH SERVICES ` <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 10% of the Service Fee <br /> at the rate of 100% of the Base Fee 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period : 58 . 00 ' <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121* Plus <br /> Summary �~� � �_'_.__�. <br /> 678 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br /> 0 <br />