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Repourracaa <br /> Afd .70AQUIN COUNTY PUB-LIC HEALTH SERVICES Staent Printed : 12 /18/96 <br /> ENV«iRONhh-NTAL HEALTH DIVIS WI <br /> 30.A; E- .l4EBER ',AVENUE - 3RD FWR <br /> PO BOX 388 <br /> STOCKTON , to 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> TO : STEWART WALKER CO Account# 0003470 11 <br /> 75 W VALPICO <br /> ---- <br /> TRACY , CA 95376 _ <br /> Facility ID 003882 <br /> RE : C D h1ATTHES TRUCKING 28 <br /> Ile <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> _j <br /> Invoice M 034602 -- Date of Invoice : 12/17/96 V ,k 1 A. C"1.1 A'VLV e, 170 0 <br /> Tank # TA187801 <br /> 12 /17 /96 2380 UST Permit Fee ------- _-_-- <br /> Total for this invoice : $170 . 00 <br /> Payment DUE DATE 01/18/97 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> PAYMENT <br /> RIF.�El�d'E� <br /> JAN 151997 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> the rate of 10% of the Service Fee <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at 30 days after the Payment DUE DATE <br /> at the rate of 100E of the Base Fee and EACH 30 days thereafter. <br /> 30 days after the Payment DUE DATE. <br /> TOTAL DUE this Billing Period: $170 .00 <br /> —�-- <br /> Please Make CHECKS PAYABLE to 4 ^ 00 + N:i. N0 [3 <br /> $170 . 00 v�$0 -0� $0 . 00 $0 0 $0 . 0.0 $170 . 00 <br /> 0 to 30 days 31 to 60 days 61 to 90 days 91 to 120 days ) 120 days Account <br /> Balance <br />