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;AN JOAQUIN COUNTY PUBLIC *11fALTH S-�7tVPCES SW R9pvrt !15255 <br /> NVIRONMENTAL HEALTH DIVISION Statement Printed : 03/22/96 <br /> 304 E WESER AVENUE - 3RD FLOOR <br /> '0 8OX 338 <br /> 3TOCKTON, CA 95201-03$8 <br /> 4ccounting Office : 209 468 -3420 <br /> 2 <br /> F-1 c> <br /> TO : SOUZA REALTY & DEVELOPMENT <br /> 105 E: 10TH ST P1cGount 0 8009358 <br /> TRACY , CA 95376 <br /> ATTN : MICHA L SOUZA Facility IO 0@6799 <br /> RE : NICO AW PROP Y <br /> BYRON TRACY <br /> PLEASE RETDRN a COPT of THIS STATERfIfT with YOUR PATNERT <br /> Service Activity <br /> Date Description Hr5 Employee Amount <br /> Invoice 0 016435 Date Of Invoice: 11/17/44 <br /> 11 /18/94 PAYMENT $-390 . 00 <br /> 11/15/94 2953 REPORT REVIEW I . 5 INFURNA $117 . 00 <br /> 11/16/94 2953 REPORT REVIEW 1 . 0 INFURNA $78 . 00 <br /> 11/17/94 2953 REPORT" REVIEW 0 . 6 INFURNA $54 . 60 <br /> 11/18/94 2953 CONSULTATION 0 . 3 INFURNA $23 , 40 <br /> 12/02/94 2953 CONSULTATION 0 . 5 INFURNA $39 . 00 <br /> 12/07/94 2953 FIELD CONSULT 2 . 0 INFURNA $156 . 00 <br /> 12/07/94 2953 REPORT REVIEW 1 . 0 INFURNA $7$ , 00 <br /> 12/23/94 2953 FIELD CONSULT 1 . 5 INFURNA $117 . 00 <br /> 12127/94 2353 REPORT REVIEW 9 . 8 INFURNA $62 . 40 <br /> 04/11/9$ PAYMENT $_167 . 70 <br /> 01/19/96 2953 FIELD- CONSULT 1 . 3 INFURNA $101 . 40 <br /> 03/28/95 2953 REPORT REVIEW 2 . 5 INFURNA $195 . 00 <br /> 03/29/95 2953 REPORT REVIEW 0 . 8 INFURNA $62 . 40 <br /> 04/06195 2953 REPORT RE:VIEW 0 . 9 INFURNA $62. 40 <br /> 08/14/95 2953 CONSULTATION 0 . 5 XNFURNA 539 . 00 <br /> -- <br /> Total for this invoices $627.90 <br /> f this iNVOItE has been Paid, Please Disregard this Notice . . . Payment: FAST DUE <br /> PENALTIES for all FEES for S#HVICE will be ASSt$SED <br /> PENALTIES will be ASSESSED on all ANNUAL PERRFTS at the rate of Tet of the Servite Fee <br /> at the rate of telt of the Bass fee 30 days after the Payment DOE DATE <br /> 30 days after the Payment DOE DATE. and EACH It days thereafter. <br /> TOTAL DUE this Billing Period. $627 .90 <br /> Account 1--30t3ays 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary <br /> 0 . 00 0 . 00 0 . 00 0 . 00 5527 . 90 <br />