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SAN JOAQUIN COUNTY PUBLIC 7ALTH SERVICES Report #5255 <br /> ENVIRONMENTAL HEALTH DIVI%wdN *lo/ <br /> 445 N SAN JOAQUIN <br /> PO BOX 2009 <br /> STOCKTON, CA 95201 209-468-0340 <br /> A C:-4= C7 a--i re -t ct-t: a m e T, t <br /> Account # Date <br /> TO: CARL KARCHER ENT ` - --- "' --- <br /> 800 MELL_ON AVE 000 269 — 04/18/94 <br /> MANTECA, CA 95-136 <br /> ATTN: CARL KARCHER Facility ID <br /> RF t -rnPj- KAVCt-TER ENT <br /> n <br /> 800 MELLON AVE MANTECA <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> !I Health (( <br /> Date Program Description Amount <br /> Previous Balance <br /> Invoice #008555 -- Date of Invoice : 03/11/94 <br /> 03/11/94 2380 TANK BEFORE 1/84 170. 00 <br /> 03/11/94 2380 TANK BEFORE 1/A4 170. 00 <br /> 'C'otal for this invoice:` a00 <br /> PAYMENT <br /> RECEIVED <br /> ,!U N 1 1994 <br /> 0,ANQAQUIN CDUNTY <br /> rUNLI HEP I TH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES on all PERMITS FEES will be asses,-- ed ;at the rate of 100% <br /> of the Base Fee amount 60 days after the INVOICE DATE <br /> 1-30 Days Days 31 -6111 Days 61-90 Da ss 91 1 LO na s =1+ Plus �( mount Due <br /> 0. 00 340. 00 0. 00 0. 00 0. 00 $ 340. 00 <br /> PENALTIES for all SERVICE FEE billing will be assessed at the rate of <br /> 10% of the unpaid Invoice Balance 60 days after- the INVOICE DATE and <br /> each 30 days thereafter <br /> `/ *ft/ <br />