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SAN,-�OAQUIN COUNTY PUBLIC HEALTH SERVICES Report #15255 <br /> E,NVI.RO DENTAL HEALTH DIVIJPN r <br /> 445 N SAN JOAQUIN STREET <br /> PO BOX 388 <br /> STOCKTON , CA 95201-6-388 <br /> Accounting Office : 2091468-0340 <br /> TO : PORT .OF,..S-IOCKTOtJ <br /> PO 8` X 2089 Account# 0003498^ <br /> STOCKTON , � 95.241 <br /> ATTN . PORT OF STOCKTON Facility ID 003909 <br /> RE : PORT OF STOCKTON Billing Date : 01. /11 /95 <br /> 2201 W,_„WASHINGTON STOCKTON <br /> PtF Sf`itETURN fHI STIIfif MEHT <br /> WITH1W W f4YHERr <_. <br /> Service Activity <br /> Daae Description Hrs Employee Amount <br /> .Invoice #,.;017090 -- [date of Invoice: 03./1.1./95 <br /> 01 /11 /9 - 238.0A-Under'ground Tank Permit, Fee I;Lg;-07 $170 , 00 <br /> 01 /11 /95 2380 Underground Tank Permit Fee $170 .00 <br /> * Total for tl s invoice : Z4340 . 0.0 <br /> If this INVOICE has been Raid , Please D%sregat'i this Notice . . . <br /> and DEDUCT the ArrIOLArit Paid from the TOTAL DUE <br /> PAYMENT <br /> JA E � <br /> } <br /> F ' <br /> I�$Ll fiLALTfi <br /> GI`IY Ifr VI'141LIY.If"'�'{1�J�'r..r!'I wd.t .YF� ty <br /> ti <br /> Penalties will be added on all PERMIT FEES <br /> at the rate of 100% of the Base Fee <br /> 60 days after the invoice date . <br /> For all SERVICE`. FEES penalties will <br /> be added at the rate of 100 <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> TOTAL DUE this Billing Period: $340. 00 <br /> Account 1-30 <br /> Day- 31-60 1 Dayss 91 712-' :P=lus Summary - - <br /> , <br /> 340 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br />