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--AN .JC.AQUIN COUNTY PUBLIC HEALTH <br />ENk-IR.ONa'MENTAL HEALT!1 DIV ISI <br />.304 E IAEBER AVENUE r 3RO FLOuR <br />STOCKTON, CA 95202 <br />Accounting Office: 209-463-3420 <br />TO: CALIF NATL GUARD/COMBINEO SUPP <br />8020 S AIRPORT WAY <br />STOCKTON, CA 95206-3999 <br />ATTN: CA ARMY NATL GUARD/COMBINES SU <br />RE: CALIF NATL GUARD/COMBINED SUPP <br />8020 S AIRPORT WAY 4-)w <br />STOCKTON <br />PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAY"ENT <br />Report #5110 <br />GuCa��s <br />Account R 0009076 1 <br />Facility ID 006696 <br />P <br />Service Activity �- <br />Date Description Hrs Employee Amount <br />Invoice # <br />043846 -- <br />Date of Invoice: 12/12/97 <br />12/12/97 <br />2227 GEN <br />5(25 TONS PERMIT <br />$137.40 <br />02/08/98 <br />PAYMENT <br />$-137.40 <br />09/22/98 <br />2227 GEN <br />5<25 TONS PERMIT <br />(ADDT-L BILLING) <br />$1,262 <br />Total for this invoice: <br />$1,252.60 <br />P DATE <br />E <br />�,uj L/93,If <br />this INVOICE has been Paid, <br />Please Disregard this Notice <br />t'��T'E <br />��� <br />�.n T_ <br />c� <br />NOV 2.5 1998 <br />=' <br />T.. <br />SAN JOAQUIN COUNTY <br />Gr <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />y <br />x7- yb <br />Penalties will be added on all Permits <br />at the rate of 100'. of the Base Fee 30 <br />days after the due date. <br />For all SERVICE FEES penalties will <br />be added at the rate of 10% 60 days <br />past invoice date and each 30 days <br />thereafter. <br />TOTAL DUE this Billing Period: <br />Please make Checks PAYABLE to: PHS/EHO <br />S <br />Cao r� , C�� -� <br />$1,262.60 <br />