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SAN JOAQUIM1I COUNTY PUBLIC HEALTH SERVICES Report 05255 <br /> ENVIROhdh1E AL HEALTH DTVI. N Sta eat Printed : 12J18 (96 <br /> m <br /> 304 E IJEB AVENUE 3RD OR <br /> PO B.O X` 18 <br /> STOCKTON , CA 962pl--0386 <br /> Accounting Office : ,V09 468;341 0 ,. <br /> TO : PORT OF STOCKTON Account # 0003498 <br /> PO BOX 2089 <br /> STOCKTON , CA 95201 <br /> ATTN : PORT OF STOCKTON Facility ID 003909 <br /> RE : PORT OF ST0CKT0N <br /> [dpT T7CrTOrtr <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> FDte Description Hrs Employee Amount <br /> �— __ - ----- 110k11R " �l i ANLC v <br /> Invoice 04 034609 -- Date of Invoice : l' 117/96 <br /> 6k #k TA128207 $170 . 00 <br /> 12J17 /96 2389 UST Permit Fee Tank 4 TA128208 $170 . 00 <br /> 12 /17 /96 2380 UST Permit Fee // <br /> � ------------------------- - <br /> Total for this invoice : $340 . 0@ <br /> Payment DUE DATE 0 97 <br /> If this INVOICE has been Paid, Please Disregard this Notice . <br /> PAYMMY <br /> JAN 211897 <br /> SAN JOAOUIN COUNTY <br /> pUEi1,IC HEALTH SERVICES <br /> >= - -ri-- - MEAL"fN 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 10t of the Service Fee <br /> at the rate of Joe% of the Base Fee 30 days after the Payment DOE DATE <br /> 30 days after. the Payment DUE DATE. and EACH 30 days thereafter., <br /> TOTAL DUE this Bieling Period : $34@ .00 <br /> Please Make CHECKS PAYABLE to : P", II A . NEiii: <br /> $340 . 00 $0 . 00 <br /> 0 to 30 days 31 to 60 days 61 to 90 days 91 to 120 days ) 126 days Account <br /> Balance <br />