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A0 a0AQUIT4 COUt,ITY P . I TC 1 AL-TSI ERVTCReport f525S <br /> fmtdIV'IR0P4Hlc-l�TAL HEALTH IVI' <br /> ';04, E WEBER AVENUE. - 3Rn SOF, <br /> 4,1-0 'YJ0N , A 9 5 <br /> 202 <br /> f',c�clt.trtti.r�c{ C1f Fi cue ; 9 65 1 0 <br /> TCS C <U EQUIP'11Er,1T CO —, <br /> iI n I:; ,1 0017235 I+ <br /> "r F,P.cY , CA ci.. i <br /> 1 1`INI a hC1; 'AGUNCif010235 <br /> RE : C&B EQUIPP11• CO <br /> 7171 1W 111-F1 <br /> TRACY <br /> PLEASE RETURN a COPY of THIS STATEf'ENT with YOUR PAYMENT <br /> i �, �� � i�ritc�uiL , <br /> Invoice # 057371 -- Date of Invoice : 05/18/99 <br /> UrA11=IC_0 r ROGRA1''1 FAC :TATE SCR`s T C E FE F- 6/20/99 <br /> Total for this invoice :Payment DUE DATE <br /> If this INVOICE has been Paid, Pleas Disregard this Notice <br /> Invoice # 059567 -- ate of Invoice : 05/18/99 <br /> 05/1' /99 2399 U N I r I E 0 PROCRAM FAC `,TA.Tf= SER'JICE FBF � ;.T .. C:6 <br /> 0E>,�18/99 2220 SM" HW G - N �5 TO1%15/YR •1(A r,,)O <br /> Total for this invoice : 11-0--00 <br /> Payment DUE DATE 20/99 <br /> If this INVOICE has been Paid, Pleas Disregard this Notice <br /> SERVICE FEES penalties will <br /> Penalties will be added o all Permits "'' �d��GS <br /> , �EE�..,�b N� 0,Wlthe rate of i0§ 60 days <br /> at the rate of 100% of th Base Fee 30 �Nv1Ro;��'�rait<<_ past invoice date and each 30 days <br /> days after the due date, thereafter, <br /> TOTAL DUE this Billing Period: h $128. 50 <br /> Ple se make Checks PAYABLE to : PHS/EHD <br />