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AN JOAQUIN COUNTY PUBLI*EALTH SERVICES Report 15255 <br /> Ny;_R041�t1-E-7'PAL HEALTH DIVON St= ement Printed : 03/20 /97 <br /> Z;' E WEBER AVENUE — 3RD FLOOR <br /> TOCKTON , CA 95202 <br /> ccounting Office : 209 468-3420 ( ,�1�.41 <br /> TO : PAUL HOFF AN &' SONS — <br /> FO BOX 924 Account # 0003612 <br /> / � — <br /> SAN F ANJCI9CO3 CA 94120 <br /> ATTN : CHEVRON CORP /JANE MACKENZIE — 0 <br /> 039t � <br /> 4 . <br /> RE : PAUL HOFFMAN 9 SONS - - <br /> 26501 S BANTA RD TRACY <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Envoice 1i 036046 -- Date of Invoice : 03/18/97 <br /> 02 /19/97 2960 REPORT REVIEW 0 . 5 KNOLL $39 . 00 <br /> ------------------------------------- <br /> Total for this invoice : $39 . 00 <br /> Payment DUE DATE 04/20/97 <br /> this INVOICE has been Paid, Please Disregard this Notice . . . <br /> �G1V8 4v <br /> /ter /q 7 <br /> Com, <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of 10% of the Service Fee <br /> at the rate of loot of the Base Fee 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period: $39 . 00 <br /> Please Make CHECKS PAYABLE to : fj 11 N :"3. J" Y.`:--1l-II U) <br />