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J0AQUIr4 COUrITY PUBLIC H SERVICES Repo t.4 - <br /> `-; �P'�d"1Er-TAL HEALT1A DIVIS S'ta P int"rd : 99/30 9'22? <br /> .''1 <br /> 0 t4 CA 95343E <br /> i:�6'unting Office : 299 468-3420 _ <br /> r-a .��� w,n ., <br /> ,i <br /> T0 : HOLT BROS <br /> PO BOX 31?0 / Account �OO5765 <br /> =TOCKTOtd , CA 95208 . ...- -..�— � .... <br /> lyT'N : BOLT [SRO; � Facility ID T005303 p <br /> RL•:,t HOLT EROS app <br /> _-....1-E 21. .1411 CHARTER _.W.0 <br /> ST0CKT0h4 <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> �� _..._..._.___.____.�^. ._.___._.._.__..___.._:��-•�.__..____.M�amu.-_---_:-- �._..�.___.,..�_,.... .__..._.__..____._..._�_._.T.. ,:...._ <br /> Service Activity <br /> II ' tJate Descr- iption Hrs. Employee — ,_Amount <br /> invoice # 043837 -- Date of Invoice : 12/12/97 <br /> 12/12/97 2228 GErd 25X50 T0tdS PERt1IT $1 , 099 . 20 <br /> ; 1 /07/93' PAYrlErdT -1 , 099 . 201 <br /> "^/22/9Q 2228 GEt4 ^5(50 Tr S PERt1IT ( A0DT ' L BILLItaG) '+500 . 80 <br /> Total for this invoice : $500 . 80 <br /> Payment DUE DATE 10/31/9g <br /> If this INVOICE hag" been Paid, Please Disregard this Notice <br /> i <br /> OCT 16 1998 <br /> PULLC HEAL'"i 1&EFMCE: <br /> ENVIRONMENTAL OMS 10) <br /> 1 <br /> �.i <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 10t 60 day: <br /> at the rate of 100v of the Base Fee 30 �� past invoice date and each 30 days <br /> days after the due date. ( �� thereafter. <br /> TOTAL DUE this Billing Period : $500 . 80 <br /> Please make Checks PAYABLE to: PHS/EHD O/V <br /> .� �, ,; <br />