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F ACCTREC, • Accounts Receivable • <br /> Account ID 0017869 Facility ID 010869 Cross—Ref <br /> Responsible party <br /> Name HIGH ADVENTURE COACH INC <br /> Care Of MARK SMITH <br /> Street 330 E KETTLEMAN LN <br /> 2nd Address <br /> City LODI State CA Zip 95240-59 <br /> Phone Ext <br /> Alternate Ext <br /> Alternate #2 Ext <br /> Census District Location _ City code <br /> Balances — <br /> 1 to 30 $ 128 . 50 <br /> 31 to 60 $ —18 . 50 Last payment <br /> 61 to 90 $ 0 . 00 Promised Amount <br /> 91 to 120 $ 0 . 00 Sent to collections <br /> 121 Plus $ 0 . 00 <br /> Total Due $ 110 . 00 Prior month ' s balance <br /> F-Find E=Enter U=Update D=Delete Page 1 2 : 18 :22p <br /> Account ID : 0017869 Name : HIGH ADVENTURE COACH INC <br /> Posted Applied P/E Description Type Receipt # Check # Amount <br /> Invoice #057977 Status : Due : $ 0 . 00 <br /> 05/18/99 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 18 .50 <br /> 06/24 /99 06/15/99 9997 CORRECTION TO A CHARGE 18 . 50 <br /> DUPLICATE CHARGE <br /> Invoice #060184 Status : Due : $ 110 . 00 <br /> 05/18/99 05/18/99 2220 SM HW GEN (5 TONS/YR 100 .00 <br /> 05/18/99 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 10 . 00 <br /> NIDD <br /> � w <br /> PAYMENT <br /> Press any key to return to input screg-CEivEr <br /> .1UN14 � <br /> SAN 10AQUIN COUNTY <br /> PUSUC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH.DIVAS,cW <br />