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�v�lir �Vunir F'UBLIC HEALTH SERVICES 152S5 <br /> EN'(j�CNMENTAL HEALTH DIVISI' " Stat fit Printe^.d : 16 <br /> 3 14 @ l Report15255 <br /> EBE9 � AVENUE — 3RD FL�R <br /> PO BOX 388 <br /> STOCKTON, CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> dl <br /> TO : GUNTERT SALES INC <br /> 222 E FOURTH S7 u # —0003303 <br /> RIPON , CA 95366 <br /> ATTN : GUNTERT SALES INC Fac l.ity ID 08 24 <br /> 222 E FOURTH ST RIPON <br /> PLEASE RETURN e' COPY of TRIS STATEMENT with Y Ay N T <br /> Service Activity <br /> Date — 'Description Hrs Employee Amount <br /> te <br /> Invoice # 034496 -- Date of Invoice : 12/17/96 <br /> 12/17/96 2380 UST Permit Fee Tank # TA199001 $170 . 00 <br /> 12 /17/96 2380 UST Permit Fee Tank # TA199002 $170 . 00 <br /> Total for <br /> is Invoice : <br /> Payment DUE DATE 0 <br /> Ifthis INVOICE has been Paid, Please Disregard this Notice . . . <br /> I+� <br /> d <br /> i <br /> -( <br /> JAN 151997 <br /> L; SAN JOAOUIN COUNT`+ <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 118 of the Service Fee <br /> at the rate of 100E 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 /> �IiAR�F <br /> TOTAL DUE this Billing Period : 4340. 00 <br /> lease Make CHECKS PAYABLE to : G H1 .a y' G I.A II.-J, <br /> $340 . 00 ' $0 . 00 $0 . 00 $340 . 00 <br /> 0 to 30 days 31 to 61 days 61 to 91 days 91 to 121 days ) 124 days Account <br /> 'I Balance <br /> I _ <br /> �„j <br />