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v ' vin cuUNTY PUBLIC H LTH SERVICES <br /> ° BOX <br /> ,�N,V4O*NMENTAL, HEALTH DIVIS Report #5255 <br /> ' WEBER AVENUE - 3RD F Statt Printed : 02/05/96 <br /> 388 <br /> STOCKTON . CA 95201-0388 <br /> Accounting Office :`:, 209 468-3420 N <br /> V J <br /> TO : GUNTERT SALES Ikq f� <br /> 222 E FOURTH ST r) <br /> RIPON , CA 95366 _ �� 0003303 <br /> � ATTN : GUNTERT SALES INC - <br /> Fac lity ID 0 3724 <br /> I RE : GURTERT SALES INC <br /> { <br /> 222. - _E-_FO.URTH- ST_._._R�P_O.N <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Date Description Service Activity j <br /> A Hrs Employee Amount <br /> Invoice # 026350 -- De of Invoice: 02/05/96 <br /> 02JO5/96 2301 UST StatV Surcharge Fee Tank # TA199001 $56 . 00 <br /> 02/05/96 2301 UST State Surcharge Fee Tank N TA199002 $56 . 00 <br /> Total- for-this--invoice : `112 . <br /> Payment DUE DATE 03/06/96 <br /> If this INVOICE has been Paid, PLtase Disregard this Notice . . <br /> \� <br /> YMENT�s <br /> mr-CEIVEI)6/ <br /> FEB 2 9 1996 <br /> Sf+N JCA0l11N GUON T Y <br /> PUBLIC HEALTH SERVICES <br /> c"NVIHONMENTAL 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 102 of the Service Fee <br /> at the rate of 101E of the Base Fee 31 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 30 days thereafter. — <br /> I; TOTAL DUE this Billing Period : 5112�00� <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary <br /> 452 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br />