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SAN JOAQUIN COUNTY PUBLIC 'ALTH SERVICES Report #5255 <br /> ENVIRONMENTAL HEALTH DIVIS ,N Sta —nent Printed : 03/22/96 <br /> 304 E WEBER AVENUE — 3RD FLOOR <br /> PO . BOX 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> JI= a—r rt c t <br /> TO : SOUTHWEST HIDE COMPANY <br /> PO BOX 795 Account :4 0006592 <br /> MODESTO , CA 95353 <br /> ATTN : SOUTHWEST HIDE COMPANY Facility ID 005798 <br /> RE : SOUTHWEST HIDE COMPANY <br /> 11651 PALM LN RIPON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 004651 -- Date of Invoice : 09/30/93 <br /> 10/04 /93 PAYMENT $-234 . 00 <br /> 12 /14 /93 CORRECTION TO A PAYMENT(TO INV #005205 ) $234 . 00 <br /> 10/01 /93 2960 REPORT REVIEW 1 . 0 SASSON $78 . 00 <br /> 10 /07 /93 2960 FIELD CONSULT 2 . 0 SASSON $156 . 00 <br /> 10 /08/93 2960 REPORT REVIEW 1 . 0 SASSON $78 . 00 <br /> 11 /09 /93 2960 FIELD CONSULT 5 . 0 SASSON $390 . 00 <br /> 11 /09 /93 2960 REPORT REVIEW 1 . 0 SASSON $78 . 00 <br /> ------------------------------------- <br /> Total for this invoice : $780 . 00 <br /> Payment PAST DUE <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> FAST OU910 <br /> WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 10% of the Service Fee <br /> at the rate of 100E of the Base Fee 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period : <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary <br /> 0 . 00 0 . 00 0 . 00 0 . 00 780 . 00 <br />