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f'AN JOAQUIN COUNTY PUBLIC \\ TH CERVICES Report 15255 <br /> EN: ROrJJENTAL HEALTH OIVI' I1r/ t,�ti`„`nt Printed : 11 (25196 <br /> 3O `E,, 4JfBER AVENUE — 3RD FLOOR <br /> PO ITOX 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> TO : BIG VALLEY FORD <br /> 3262 AUTO CENTER DRIVE 7Acc tit <br /> S <br /> TOCKTON . CA 95212 . - <br /> ATTN: BIG VALLEY FORD _�D 007087 <br /> RE :. BIG VALLEY FORD <br /> A�l7 O: T E$ QJRR I V E S.T_4.�K T 4N <br /> PLEASE RETUU a COPY of THIS STATEMENT with YOUR PAYMENT a,.o <br /> Service Activity <br /> Date Description Mrs Employee " Amount <br /> Invoice Of 032995 -- Date of Invoice : 11/04 /96 <br /> 11/04-/96 2227 GEN 5< 2` TONS PERMTT $169 . 0) <br /> 11 /13 /96 PAYMENT $%- 69 . '0 <br /> 11 /15/96 CORR TO A C14BG (CNG PE FR -227 TO 2226 PER ET. $—.169 . 00 <br /> 11 /20/96 2226 GEN 25<50 TOPES PERMI <br /> Total for this invoice : $1 179 .00 <br /> Payment DUE DATE <br /> If t11is INVOICE has been Paid, Please Disregard this Notice . . . <br /> 1 <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of lit of the Service Fee <br /> at the rate of 111% of the Base Fee 30 days after the Payment DUE DATE <br /> 31 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period: $1 , 179 .00 <br /> -- 0 <br /> Please Make CHECKS PAYABLE to : p--", 0-0 'i:ii« <br /> $1 , 179 . 00 $0 . 00 $0 . 00 $0 . 00 $0 0� $1 179 00 <br /> 0 to 31 days 31 to 61 days 61 to 91 days 91 to 120 days ) 121 days Account <br /> Balance <br />