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AN J 0 A Q U I N CUUN I "e PUIJL1:(, IIL i,L 111 i_I:VILL nepUl i. hJL JJ <br /> ENVIRONMENTAL HEALTH DIVISV State, it Printed : 05/20/99 <br /> 304 E WEBER AVENUE — 3RD FLu,,,rt <br /> STOCKTON , CA 95202 \ <br /> Accounting Office : 209 468-3420 <br /> TO : MICKE GROVE GOLF LINKS ( t") <br /> <br /> <br /> ATTN : MICI-IAEL GRANT_EL_LA Facility ID 010135 <br /> RE : MICKE GROVE_ GOLF LINKS <br /> 1140 N MICKE GROVE RD <br /> LODI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service. Activity <br /> Date Description 1•Irs Employee Amount <br /> Invoice # ' 057274 -- Date of Invoice: 05/18/99 <br /> 05/1.8/99 1-399 ONIFIE.•.D PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> Total for this invoice : $ 8.50 <br /> Payment DUE DATE 06/ <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> I,. _ jice # 059469 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FI-C $10 . 00 <br /> 05/18/99 2220 SM HW GEN <5 TONS/YR $100 • ()0 <br /> Total for this invoice : $110 . 0 <br /> Payment DUE DATE �0 9 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 108 61 days <br /> at the rate of 1008 of the Base Fee 30 past invoice date and each 38 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: T $128 . 5( • <br /> Please make Checks PAYABLE to : PHS/f HD <br /> 9"'I'a APOT <br /> J11N23 � � <br /> ,.,I. <br /> FNV11l 'r.in <br />