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SAN ,10AQUIN COUNTY PUBLI E LTH SERVICES Report M5255 <br /> ENVIRONMENTAL HEALTH DI ' S t Printed : 05/20/99 <br /> 304 E WEBER AVENUE . — 3RD R <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468--3420 <br /> TO : C&S ONE HOUR MARTINIZING <br /> 5756 PACIFIC AVE #1 Account # 0017146 <br /> STOCKTON , CA 95207 <br /> 146 <br /> ATTN : PATEL CHARLES E3EF7acilityID 010� <br /> RE : C&S ONE HOUR MAR.TINIZING <br /> 5756 P A C I F I C A V c 1 v,.a snx s•wi s .. ,:.; cA4Tt . . <br /> r <br /> STOCKTON <br /> rsASTOCKTON _ <br /> PLEASE RETURNa COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> it <br /> Invoice # 057284 -- Date of Invoice: 05/18/99 <br /> 05/18/99 , 2399 UNIFIED PROGRAM FAC STATE SERVICE F.EE — ———____— $18„' <br /> Total' for this invoice : $18.50 <br /> 'Payment DUE DATE 06/20/ <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Invoice # 059479 -- Date of Invoice: 05/18/99 80 . 00 <br /> 05/18/99 2399 UNIFIED. PRO'GRPM FAC STATE SERVICE FEE $ <br /> 05/18/99 2220 SM HW GEN (5 TONS/YR $ 0 <br /> Total for this invoice : $110. 00 <br /> Payment DUE DATE 06/20/9 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of lit 60 days <br /> at the rate of 100% of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: x$128.50 <br /> Please make Checks PAYABLE to: PHS <br /> u�r s v'/ I�. <br /> 19961 <br /> 6AN JOAQUIN COUNTY <br /> PUI3LIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br />