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SQUIN COUNTY PU L EALTH SERVICEIIS Report #5255 <br /> E MENTAL HEALTH IN 40ment Printed : 06/28/99 <br /> 30 ESER AVENUE — 3RD FLOOR <br /> STOCKTON , CA 95202 <br /> Accoutting Office : 2 9 468-3420 <br /> TO : STOCKTON BUMPIR SVC <br /> PO BOX 6196 i Account # 0017781 <br /> STOCKTON , CA 95206 00 9 ---r--- <br /> ATTN : ROBERT E HUN LEY Facility ID 010781 <br /> RE : STOCKTON BUMPER SVC <br /> 632 ' S EL DORADO, ST <br /> STOCKTON <br /> PLEASE RETURN a COPY- of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice 0 060100 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2220 SM HW CEN <5 TONS/YR $100 . 00 <br /> 05/18/99 2399 UNIFIE1 PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> -------------_•----------------•---------s-- <br /> Total for this invoice : $110 .00 <br /> Payment DUE DATE 06/20/9-9. <br /> If this INVOICE has been Paid, Plea a Disregard this Notice <br /> Invoice 0 062332 -- Date of Invoice: 05/20/99 <br /> 05 /18/99 2399 UNIFIE1 PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> Total for this invoice : $18 . 50 <br /> Payment DUE DATE 6/2 99 <br /> If this INVOICE has been Paid, Plea a Disregard thiiss No e-.J:�11 R • <br /> v1sc 4 For all SERVICE FEES penalties will <br /> Penalties will be added n all Permit EF be added at the rate of 108 60 days <br /> at the rate of 100% of t e Base Fee 30 past invoice date and each 30 days <br /> days after the du date, thereafter. <br /> TOTAL DUE this Billing Period : ` $128 .�501 <br /> Pl� ase make Checks PAYABLE to : PHS/EHD -- - - <br />