Laserfiche WebLink
�� YCES <br /> statement Pj1n�LV <br /> �N S <br /> Ug4ZG SZpOpE� <br /> UZN GOJ�gPVEg� 3� g 3AL® <br /> N p pNM�NgR PJgN 01 0''0 P <br /> 30npX c pffyG Account # 0003424 <br /> P�pG``-X'�•1�O <br /> 5 oc°O STORE #1 83 <br /> P <br /> ,,ITE DIAD LO S =FaCilit�Y03836,N , CA95203 <br /> �prED KHAN <br /> .LOCAL FQNTE, DIA8L01ST STOCKTON <br /> j 2 6 5 0 M COPY of Tt15 STATEMENT "it\ YOUR PAYOR <br /> PLEASE RETURN a Service Acivity <br /> Mrs Emloyee =Amount <br /> Descrip <br /> tion — <br /> Date 22/9 6 <br /> Date of Invoice Tank TA19101 $170 . 00 <br /> 025749 Fee Tank Tk19102 $170 . 00 <br /> Invoice a6 2380 UST Permit Tank TA,,19 10 3 <br /> 96 2380 ------ ------ <br /> 01 /22/ - UST Permit Fee yr 17 . <br /> 01 /22 /96 2380 UST Permit Fee Total fogis invoice : $510. 00 <br /> Pat DUE DATE 02/21/96 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> PAYMENT <br /> ?Ff`r.IVj7n <br /> B 211996 <br /> cNWITH SERVICE, <br /> AL HEALTH DIVISION <br /> 1 <br /> y�/-cn�\A <br /> PENALTIES for SERVICE will be ASSESSED <br /> at th°,f the Service fee <br /> 31 dpayment DUE DATE <br /> PENALTIES "ill be ASSESSED on all ANNUAL PERMITS srafterIthePaymentOf the DUEBasefeethereafter. <br /> . Bi d: <br /> 30 at day theTOTAL DUE this $610. 00 <br /> 61 9—= Days `121+ plus <br /> 31-60 Days <br /> 1-30 Days 0 . 0 --'�"— <br /> Account 0 . 00 1 . 0p 0 . 00 <br /> Summary 510 . 00 <br />