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S r <br /> 5AN -JO�AQUIN COUNTY PUBLI EALTH SERVICES Report #5255 <br /> EAVIRO•,MENTAL HEALTH DIVISION Statement Printed : 06/08/95 <br /> 445- N SAW .JOAQUIN STREET <br /> Box <br /> $ CA 95201-0388 V/Q�1101 /4- J /1/ �` <br /> Ccaur ting. O.ffict : 209 468-3420ZP <br /> .t >.iu rli t s. t r91i 4 e'y'e 4m r t <br /> TO: TRACY MATERIAL RECOVERY/SW TRS <br />`+ 60 E ELEVENTH ST Account # 0008545 <br /> TRACY , CA 95376 <br /> .k sasm�trsoammx�-^^^ .. <br /> ATTN : MIKE REPETTO Facility ID 006475 <br /> RE : TRACY MATERIAL RE:C'6VERY/"rR'A-N'tr',= -, <br /> 30703 S MACARTHUR DR TRACY <br /> r, PLEASE RETURN a COPY of THIS STATEMENT"with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Iivaice i 021237 — Date of; Invoice: 06/06/95 <br /> 66/0;6/95 4445 TRANSFER STATION $350 .00 <br /> ----------------------- <br /> Total <br /> ----------- -----___- __Totalfor this invoice: 35 ;81} <br /> Payment DUE DATE: 07/0 <br /> `If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> PAYMENT <br /> RECEF VED <br /> r <br /> " IN A <br /> � ` 7 1995 <br /> `AN JUAOUIN COON T Y <br /> F..i%DLIC HEALTH SERVICES <br /> ' EPI'v"IH,.)NIVIENTAL HEALTH D1Vi,3!C%1 <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PEMAITIES will be ASSESSED on all ANNUALPERMITS at the rate of 1/% of the Service Fee <br /> at the rate of 111E of the Base Fee 3► days after the Payment HE DATE <br /> 3! days after the Payment DUE DATE. and EACH 31 days thereafter. <br /> TOTAL DUE this Billing Period: $350.00 <br /> Account 1-30 1 y:rj 31-60 Days61-90 Days 91-120 Days 121+ Plus <br /> Summary <br /> 350 . 00 0 . 00 0 .00 0 .00 0 .00 <br />