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S \ <br /> AC;Ul' C'CUill'Y PU ' LIC. HEAL I ;1 f.—. �,�ICE `_�� � Report #5255 <br /> "1"? i a71F,IVL HFhLTH T_ AW Ead : Vi'D <br /> coq E WFBE:,"". AVENUE - RD 1 _00R <br /> Ti)C'K F 0 gy p CA 9 S 2 0 2 <br /> ccoLinting Office : 2 9 A68-3420 <br /> TO : EMPIRE t-OUIPMENT 'CO "L P <br /> A C rti b U n t # 001 782 <br /> FRENCH CAMP , CA 95231 <br /> ATTN-. DAVID BRIGHT GORDON FINK rFaCility ID 010782 <br /> RE : EMPIRE EQUIPME T CO LP <br /> 88: 5 S EL DORA 0 ST <br /> FRENCH CAMP <br /> LEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity r <br /> I Date Description Hrs Employee Amount <br /> Invoice 057894 -- ate of Invoice : 05/18-/.9:9 <br /> 05 /18/99 2399 UNIFIED PROGRAMFAC STATE SERVICE FFA <br /> Totel 'Q r' this, inVoice . $18 . 5 <br /> Payment DUE: DATE 06/20/99 <br /> Tf thin INVOICE has been Paid., Pl:eas.e isregard this Notice <br /> Ice 06411 D to of Invoice :. 05/18/99 <br /> 1.8/99 23.9.9 UNIFIED ROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> ; /99 2220 SM HW GE ( 5 TONS/YR $100 . 00 <br /> Total for this invoice : $110 . 00 <br /> Payment DUE DATE 6/20/9 <br /> its INVOICE has been Paid, Please Oisregard this Notice <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on a 1 Permits be added at the rate of 10% 60 days <br /> at the rate of 100E of the B se Fee 30 past invoice date and each 30 days <br /> days after the due da e. thereafter. <br /> TOTAL DUE this Billing Period : $128 . 50 <br /> Pleat make Checks PAYABLE to : PHS/EHD <br /> f� eF,NT <br /> JUN 281 9 <br /> 99 <br /> STAN JOAQUIN COUNTY <br /> // PI,'9t_IC H ALTH S`'RVICES <br /> EIMRONIV?ENTAL HEALTH DIVISION <br />