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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Statement Printed : r01/23/96 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 2, . <br /> 04 '? WEBER AVENUE - * FLOOR <br /> PO BOX- 388 <br /> STO,CKTON , CA 95201-0388 <br /> j <br /> Accounting Office : 209 468-3420 <br /> T0 : L>DLLEGEVILLE MARKET & CAFE Account # 0001456 0 <br /> 13521 E MARIPOSA RD ��— �--9 <br /> STOCKTON , ,CA 95205 <br /> ATTN : COLLEGEVILLE MARKET & CAFE Facility ID 001457 <br /> ' i . ..e`n-.wikave•a...,w.yau. - �„+�,..:wb�km,bew.,,.o:..aro.�s:fMrY.�YuE w�.v,. <br /> 13521 E MARIPOSA RD STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date if Description Hrs� Employee l' Amount <br /> Invoice Y 025534 -- Date of Invoice : 01/22/96 <br /> 01 /22/96 2380 UST Permit Fee Tank # TA225906 $170 . 00 <br /> 01/22/96 2380 UST Permit Fee Tank # TA226907 $170 . 00 <br /> ------------------------------------- <br /> Total for this invoice : $340.00 <br /> Payment DUE DATE 02/21/96 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . , <br /> PAV;ENT <br /> FEB131996 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED an all ANNUAL PERMITS at the rate of 162 of the Service Fee <br /> at the rate of 160E of the Rase Fee 36 days after the Payment DUE DATE <br /> 36 days after the Payment DUE DATE, and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period: 1 $340 . 00 <br /> Account 1-30 Daysamu —31--60 Days- <br /> Summary <br /> ays 61-99 Days 91-120 Days –121-r plus <br /> - <br /> Summary – <br /> 340 . 00 0 . 00 0 . 00 0 . 00 0 , 00 <br />