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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES mepur4 IZL2� <br /> ENVIRONMENTAL HEALTH DIVTONSr ` ament Printed : 12 /18 /96 <br /> 30.4--6.WEBER AVENUE — 3RD�u►L00R <br /> PO BOX 388 <br /> `;TOCKTON ,.:" CA 95201-0388 <br /> Accounting Office : 209468-3420 <br /> T0 : SUNNYSIDE PRODUCE (M&K.) — <br /> PO BOX 433 Account # 0002636 <br /> THORNTON , CA 95686 _ <br /> ATTN : SUNNYSIDE PRODUCE [Facility ID 00307 <br /> RE : SUNNYS-IDE. PRODUCE-1M"-}.-- <br /> 8960 W WALNUT GROVE RD THORNTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description _ Hr-, Employee Amount — <br /> Invoice 0 034407 -- Date of Invoice : 12/17/96 <br /> 12/17/96 2380 UST Permit Fee Tank # TA175201 $170 . 00 <br /> 12/17/96 2380 UST Permit Fee Tank # TA175202 $170 . 00 <br /> 12/17/96 2380 UST Permit Fee Tank # TA175203 $170 . 00 <br /> Total for this invoice : 5510 .00 <br /> Payment DUE DATE 0 97 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> PAYMENT <br /> FEB - 41997 <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 11E of the Service Fee <br /> at the rate of 100E of the Base Fee 30 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 : $510.00 <br /> P1,ea,a4_Make CHECKS , PAYABLE to : 0 ' 0-1 "i / 0: : 1'-N 1:;A <br /> $510 00 $0 . 00 $.0 00 $0 00 $0 00 $510 . 00 <br /> 0 to 30 days 31 to 60 days 61 to 90 days 91 to 120 days ) 126 days Account <br /> Balance <br />