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06/09/97S'l <br />209 468-342.0 <br />T r'ii v o X o es <br />TO : <br />Account #0006490 <br />ATTN:PACIFIC <br /> <br />Facility ID BELL PERMIT DESK <br />RE : <br />STOCKTON <br />PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYBENT <br /> <br />Description Date Amount <br />06/05/97 <br />If this INVOICE has been Paid, Please Disregard this Notice . . <br />this Billing Period: <br />$350.00 <br />TOTAL DUE <br />PHS/EHDPlease make Checks PAYABLE to: <br />JUN 2 3 1997 <br />PENALTIES will be ASSESSED on all ANNUAL PERNIT fees <br />at the rate of 100% of the Base Fee <br />39 days after the Payment ODE DATE. <br />Total for this invoice: <br />Payment DUE DATE <br />PENALTIES for all FEES for SERVICE will be ASSESSED <br />at the rate of lit of the Service Fee <br />30 days after the Payment DUE DATE <br />and EACH 30 days thereafter. <br />Service Activity <br />Hrs Employee <br />Report 15255 <br />.ement Printed: <br />$350.00 <br />07/10/97 <br />SAN JOAQUIN COWV <br />PUBLIC K2ALTH SEWICES <br />ENVIRONMENTAL HEALTH DMSiON <br />PAYMENT <br />RECEIVED <br />received <br />JUN 1 6 1997 <br />PACIFIC BELL <br />PO BOX <br />SACRAMENTO, <br />HEALTH SERVICES <br />ION <br />3RD FLOOR <br />BELL UE-708 <br />EIGHT MILE RD <br />PACIFIC <br />230O E <br />Invoice # 038899 — Date of Invoice: <br />06/Q5/97 4630 Public Water System Permit Fee <br />4 <br />ENVIRONMENTAL HEALTH OR <br />ST 0CK T 0 N, CA 9 5 2 02 <br />Accounting Officer <br />UE-708 <br />601883 <br />CA 95860-1883