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SAH J0AQUIN COUNTY PUB/ HEALTH SERVICES Report #5255 <br /> ENVIRONMENTAL HEALTH Dx`~ Ak�ION <br /> �en� Printed : 0 / <br /> 446 N SAN JUAVUIN STREET ` ~ ~"' �° <br /> PO 80X 388 <br /> / � � <br /> STUCKTON , CA 9520l— �0388 ky / �/ / / //� � <br /> / ' <br /> Accounting Office : 209 468-3420 <br /> TO ; SAMBADU ° A Q SON 39-321 <br /> 8077 N TULLY RD [Account # 04003775 <br /> LINDEN , CA 95235 <br /> ATTN : SAMBAOO , A & SON INC <br /> RE : SAM3AOOj--A SON 39-321 - <br /> 14000 E EIGHT MILE RD LINDEN <br /> PLEASE KBVKN o COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee. Amount <br /> Invoice # 031494 -- Date of Invoice : 08/07/95 <br /> O6/08/95 2766 SAMPLING 1 . 0 BARCELLOS $78 . 00 <br /> ----------------------------------~ <br /> Total for this invoice: <br /> If this INVOICE has been Paid, <br /> DUE DATE:. Yl000e Disregard this Notice . . . ! 07/07/95 <br /> ` <br /> �������NT ` <br /> " .. , _'_ <br /> ���/��X���U� � <br /> ""°~.~~—' ' _ <br /> �~— <br /> .� \UN '' �°~ <br /> SANJO^` .� <br /> PU8UC�� <br /> PF for all [[ES for S0YlC[ will he ASSESSED <br /> PENALTIES will he ASSESSED on all ANNUAL PERMITS r the rate of N the of � Service Fee <br /> at the rate of 101% of the Base Fee ^ days after (r oymont DUE 00E <br /> 0 days after the Payment DUE DATE. .�nd EACH 30 thereafter. <br /> TOT this , --Lling Period ; <br /> AcCount <br /> Summmry <br /> 78 ' 00 Q �0 0 ' 0W 0 ' @0 0 ^ 00 <br />��N <br />