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.,-NVIRONMENTAL HEALTH DIVLION <br /> 445 N SAN JOAQUIN STREETrr <br /> PO SOX 388 <br /> S'TOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-0340 R CC <br /> w u::: 2 4 1995 <br /> 7CCOUNT,^ PAYABLE <br /> TO : CARL KARCHER ENT ----- — <br /> 800 MELLON AVE o Account 4 0003269 <br /> MANTECA , CA 95336 �� JJ - --- _� <br /> ATTN : CARL KARCHER i{t�iiiyyy Facility ID 003691 <br /> - - <br /> RE: CARL KARCHER ENT Billing Date: 01/11/95 <br /> 2lLLLo iv A-VE MANTECA <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice ! 016943 -- Date of Invoice : 01/11 9 <br /> 01 /11/95 2380 Underground Tank Permit Fee / O(0 � $170 . 00 <br /> 01/11 /95 2380 Underground Tank Permit Fee (Pp�` $170 . 00 <br /> Total for this invoice : <br /> If this INVOICE has been Paid , Please Disregard this Notice . . . <br /> . . . and DEDUCT the Amount Paid from the TOTAL DUE <br /> \ <br /> PAYMENT <br /> RF <br /> FLO2 � qE <br /> SAN 3. <br /> I .IPI Y <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 rate of 10% <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> TOTAL DUE this Billing Period : <br /> Account 1--30 <br /> -- D 1-60 Days 61-910 B _91..�-1�20 Da 121+ Plus <br /> rySumma <br /> 340 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br />