Laserfiche WebLink
\ <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5259 <br /> EN\/IRPNMLNTAL HEALTHSI0N <br /> ,1454� N SAW JOAqUZN STRE2��_���r ` <br /> PO BOX 388 - � <br />� STOCKTON , CA 05201-0388 - ^ <br />� <br /> Accounting Office : 209 468-0340 <br /> . <br />� <br />� ifrh c:� c::. c:y «J'Vn t:,� �"'; -t:" el �� �:� mm �� <br />� TQ� LOCAL FOOD STORE 41 <br />� <br /> . <br /> 2650 " MONTE OIA8L0 ST [Ac.count # 0003424 <br />� , <br /> ° STVCKTOM ^ CA 95203 ' <br /> / . <br /> ATIMi�MASOOD , KHALID Facility ID 003836 <br /> ` <br /> 'RE- ,:4` FOOD STORE M1 Billing Date ; 01 /11/95 <br />| ~�� Drl`At-t-0 'S-T- - �---~��--��—~— <br />� <br /> . <br /> PLEASE RETURN THIS STAT[N[N7 WITH YOUR PAYMENT <br /> ! <br /> Service Activity <br /> Date Descrilption Hrs Employee Amount <br /> � <br /> - <br />� Invoice # 017053 -- Date of Invoice: 01/1l/ 5 |[l1 <br /> 01 /11/95 2380 Underground Tank Permit Fee \/ '��`^ i $170 .00 <br />� 01 /1 2380 Underground Tank Permit Fee ' $170 . 00 <br />� 01/1IT/96 2380 Underground Tank Permit Fee <br /> . ---__-___-_��__-_---______-_ <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 /> ' <br /> PAYMENT � <br /> RECEIVED <br /> SAN ]OA <br /> PUBLIC I f,' <br /> ENV L. |�V;')ITQN <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 />� <br /> be added at the rate of 10% <br /> 50 days past the Invoice date and <br /> each 30 days thereafter . <br />� . <br />� TOTAL DWG this Billing Period : $510 .001 . <br /> � <br />� <br /> A000unt <br /> Summary <br /> ! <br /> 610 , 00 0 . 00 0 . 00 0 , 00 0 . 00 <br /> . <br /> _ <br />