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,)HN .IURUUIN COUNi7 PUBLIC HEALTH SERVICES Report 05255 <br /> ENVIROWMENTAL HEALTH DIVISION Statement Printed : 12/18/96 <br /> C0--114c WI!BLR AVENUE — 3RD FLOOR <br /> PO BOX 388 <br /> ST,OCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> 1- ri %.e <> :i ix as <br /> TO : TUFF BOY INC <br /> 5151 ALMONDWOOD DR Account #0@03376 <br /> MANTECA , CA 95337 <br /> ATTN : TUFF BOY INC Facility ID� 003791 <br /> -- RE___TUFf R0-Y-_IN.C_. - __ b._— <br /> 5151 ALMONDWOOD OR MANTECA <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date _Description <br /> Hrs Employee Amount <br /> Invoice # 034546 -- Date of Invoice : 12/17/96 <br /> 12 /17 /96 2380 UST Permit fee Tank # TA142401 $170 . 00 <br /> Total for this invoice : S17e) 00 <br /> Payment DUE DATE 01/18/97 <br /> If this INVOICE has been Paid, Please Disregard this Notice . <br /> I <br /> PAYMENT <br /> JAN 91997 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of III of the Service Fee <br /> at the rate of 1008 of the Base Fee 30 days after the Payeent DUE DATE <br /> 11 days aftarthe-Rayeeet off-wt. - - and`EALH 30 days thereafter. <br /> TOTAL DUE this Billing Period : <br /> Please Make CHECKS PAYABLE to : 6* 0-A S:K ,A+'' U:'!: N-0 I1:71 <br /> 170 . 00 $0 . 00 $0 . d0 $ . 00- -- _. .y.0 .@ _$37a 44- <br /> 0 to 30 days 31 to 60 days 61 to 90 days 91 to 120 days ) 120 days Account <br /> Balance <br />