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SAM JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report $5255 <br /> ENVIRONMENTAL HEALTH DIVISION - Statement Printed : 11/16/95 <br /> 304 E WEBER AVENUE - 3RD FLOOR <br /> PO BOX 388 <br /> STOCKTON, CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> :_. r %.'e C> c: e.e <br /> TO : TRACY GOLF & <br /> <br /> <br /> N __ <br /> ATTN : TRACY GOLF & COUNTRY CLUB Facility ID 003299 <br /> RE : TRACY GOLF & COUNTRY CLUB <br /> 36200 S CHRISMAN TRACY <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> — Service Activity <br /> 's-V�Amount Date Description Hrs Employee Amount <br /> Invoice # 021627 -- Date of Invoice: 06/15/95 <br /> 06/13/95 PAYMENT $-234 . 00 <br /> 06/14/95 2380 UST PERM CLOSURE PLAN CHCK/IN 1 . 0 FOLEY $78 . 00 <br /> 07/07/95 2380 UST PERM CLOSURE PLN CHCK/INS 1 . 0 FOLEY $78 . 00 <br /> 07/10/95 2380 UST PERM CLOSURE PLN CHCK/INS 2 . 5 FOLEY $195 . 00 <br /> 09/21/95 PAYMENT $-117 . 00 <br /> 10/09/95 2380 UST PERM CLOSURE PLN CHCK/INS 8 . 0 FOLEY $624 . 00 <br /> 10/19/95 2380 UST PERM CLOSURE PLN CHCK/INS 1 . 0 FOLEY $78 . 00 <br /> ------------------------------- --- <br /> Total for this invoice: =702. 00 <br /> Payment DUE DATE: 07/15/ <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> PAYMENT <br /> DEC 11 WS <br /> S'"JOmQui1V COUNTY <br /> PUgL IC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 11% of the Service Fee <br /> at the rate of lilt of the Base Fee 31 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 : $702.00 <br /> Account 1-30 Days 31-60 Days 61--90 Days 91- 120 Daysl 121+ Plus <br /> Summary <br /> 702 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br />