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SAN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> EN <br /> FNTAL HEALTH DIVIN <br /> 44SAN JOAQUIN STREET MF <br /> PO BOX 388 <br /> STC',;±•. 'ON . CA 95201--0388 <br /> 4kiting Office : 209 468--0340 <br /> TO : TED PETERS TRUCKING COMPANY . <br /> PO BOX 831 Account # 0003624 <br /> MANTECA , CA 95336 <br /> ATTN : DAVID PETERS ETAL Facility ID 003996 <br /> RE : TED PETERS TRUCKING COMPANY Billing Date : 01/11/95-11 <br /> 1985 LJ YOSEMITE MANTECA <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 0171.46 -- Date of Invoice: 01/11/95 <br /> 01/11 /95 2380 Underground Tank Permit Fee 2 3fc. 27 $170 . 00 <br /> ----------------------------- <br /> Total for this invoice : X170. 00 <br /> If thy„s INVOICE has been Paid . Please Disregard this Notice . . . <br /> and DEDUCT the Amount Paid from the TOTAL DUE; <br /> PAYWAII 1 <br /> R 1!C EIV p <br /> FEB E 199r <br /> SAN JOAQUIN COUN',",( <br /> PUBLIC HEALTH SEP`.' <br /> ENVIRONMENTAL HEA,-rH .,;,. <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 10% <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> TOTAL DUE this Billing Period: 170.00 <br /> -T Account —30 Days 31-60 Days 61-90 Days 91-120 Days 121 r• Plug: <br /> Summary Ll <br /> 170 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br />