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SAN .JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> Aeport'i5'155 <br /> E V, RONMENTAL HEALTH DIVISION Statement Printed : 05/20/99 <br /> 4 'E WEBER AVENUE — 3RD FLOOR <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> T: �avca .f r *a <br /> TO : SHELL <br /> 1313 E CHARTER WAY Account # 0016470 fl <br /> STOCKTON , CA 95205 <br /> ATTN : NICK GOYAL Facility ID 009470 <br /> RE : SHELL #0402 <br /> 1313 E CHARTER WAY <br /> STOCKTON - <br /> PLEASE RETURN a COPY of THIS STATENENT with YOUR PAYMENT <br /> Service Activity <br /> Dane Description Hrs Employee Amount <br /> Invoice # 056666 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> -------------------------------------- <br /> Total for this invoice : $18. 50 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment DUE DATE 06/20/99 <br /> Invoice # 058826 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> ------------- ---"----- --------- <br /> Total for this invoice: $10 .00 <br /> If this INVOICE has been Paid, Please Disregard this Notice Payment. DUE DATE 06/20/99 <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of ll% 61 days <br /> at the rate of 11ii of the Base Fee 31 past invoice date and each 31 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : ;28.50 <br /> Please make Checks PAYABLE to : PHS/EHD <br /> 41 <br />