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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> £NT*RONMENTAL HEALTH DIVIS <br /> 445 N SAN JOAQUIN STREET <br /> PO BOX 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-0340 <br /> 4c% c. 4::::: C.0 I R 1 t::: S3 L: all 1::: �^ rm"tl E!:e V <br /> TO : GOLFLAND AMUSEMENT PARK <br /> 1478 ENDERBY WAY Account # 0004832 <br /> SUNNYVALE , CA 94087 <br /> ATTN : STOCKTON GOLFLAND Facility ID 002681 <br /> RE : GOLFLAND AMUSEMENT PARK Billing Date : 01/11/95 <br /> 7850 N WEST LN STOCKTON <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> Service Activity <br /> [Date Description Hrs Employee Amount <br /> Invoice # 014293 -- Date of Invoice : 09/01/94 <br /> 09/01/94 PAYMENT $-234 . 00 <br /> 10/14/94 2380 UST PERM CLOSURE PLAN CHCK 2 . 5 KITH $195 . 00 <br /> 12/05/94 2380 UST PERM CLOSURE PLAN CHCK 0 . 7 KITH $54 . 60 <br /> — <br /> Total for this invoice : — 15 :60 <br /> If this INVOICE has been Paid , Please Disregard this Notice . . . <br /> . . . and DEDUCT the Amount Paid from the TOTAL DUE <br /> pAVM"'NT <br /> RECE1WE,D <br /> Penalties will be added on all PERMIT FEES JAN 2 3 19235 <br /> at the rate of 100% of the Base Fee SAN JOAQUIN COUNTY <br /> 60 days after the invoice date . PUBLIC HEALTH SERVICES <br /> For all SERVICE FEES penalties will ENVIRONMENTAL HEALTH DIViSI"I <br /> be added at the rate of 10% <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> TOTAL DUE this Billing Period: $15 . 60 <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ plus <br /> Summary <br /> 54 . 60 0 . 00 0 . 00 0 . 00 -39 . 00 <br /> • <br />