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QAQUIN COUNTY PUBLIC VEALTH SERVICES Report #5255 <br /> EVTPONMENTAL HEALTH DIVI ON St ment Printed : 05/20/99 <br /> 'f4 4 .E,.WEBER AVENUE – RD .00R <br /> STOCKTON , CA 95202 <br /> Accounting Office : 2 9 468-3420 <br /> kg:sr <br /> TO : WILSON WAY TIRE (TRACY) <br /> 221 N WILSON WAY Account # 0017538 <br /> STOCKTON , CA >5205 — –•- <br /> ATTN : NICK BISBIKI` Facility ID 010538 <br /> RE : WILSON WAY T? <br /> 1133 LJ – <br /> TRACY <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hr's Employee Amount <br /> Invoice ## 057657 -- ate of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 5O <br /> Total for this invoice : $18 . 50 <br /> Payment DUE DATE <br /> If this INVOICE has been Paid, Pleas Disregard this Notice <br /> Invoice #F 059861 -- ate of Invoice : 05/18/99 <br /> 05/18 /99 2220 SM ',' HW G N <5 TONS/YR $100 . 00 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> ' – <br /> Total for this invoice: –M–�61/12 /9(00Payment DUE DATE . <br /> If this INVOICE has been Palo, Please Disregard this Notice <br /> Ali ( n For all SERVICE FEES penalties will <br /> Penalties will be added on u,; Permits �JJ9,be added at the rate of 16% 60 days <br /> at the rate of 100% of the Base Fee 30 past invoice date and each 30 days <br /> days after the due ate, t ;,. ,, '= thereafter. <br /> TOTAL DUE this Billing Period: $128 .50 <br /> Plea. e make Checks PAYABLE to: PHS/EHD <br />