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SA J AQUIN COUNTY PUBLIC HEALTH SER ICES Report15255 <br /> e,EN ROgMENTAL HEALTH DIVISION ! Statement Printed : 12/18/96 <br /> 304 F 14EBER AVENUE — 3RD OR • <br /> PDX 388 <br /> STCKTON , CA 95201-0388 <br /> Accounting Office ,,, 209 46.8.-3420 V+ <br /> TO : STOCKTON EAST WATER DISTRICT <br /> PO BOX 5157 -Account # �O003657 <br /> S-TOCKTON , CA 95205 __ p <br /> ATTN : STOCKTON, EAST WATER DISTRICT <br /> L_Facility ID OO4O24�p <br /> c _ 9 <br /> RE : STOCKTON EAST WATER DISTRICT <br /> 6767-- E MAIN ST -STOCKTON: _ .. _,... <br /> PLEASE RETURN a �COPY of THIS STATEMENT with YOUR PAYMENT <br /> 1 _ <br /> Service Activity <br /> Date Description Hrs Employee T Amount <br /> Invoice N 034661 -- Date of Invoice : 12/17/96 Y1O{ ln. <br /> 12/17 /96 2380 UST Permit Fee Tank # TA185601r'(',6N RANVL $170 . 00 <br /> 12/17/96 2380 UST, Permit Fee Tank # TA185602 $170 , 00 <br /> 12/17/96 2380 UST Permit Fee Tank # TA185603 '> qk• $170 , 00 <br /> ------------------------------- --- <br /> ,Total for this invoice: 510 .00 <br /> Payment DUE DATE <br /> If this INVOICE has been Paid, Please Disregard this Noty'ce • . . <br /> I i <br /> i <br /> RA YENT <br /> JAN 1 31997 <br /> d\� <br /> SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRQ..NMENTk�� tiTtl_Pt!-nnusun.l-____... <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of 100 of the Service Fee <br /> at the rate of 100E of the Base fee 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period: $510^00 <br /> Please Make CHECKS PAYABLE to : F> IF•0 <br /> $0 . 00 <br /> $0 . 00 $610 . 00 <br /> $510 . 00 <br /> 0 to 30 days 31 to 60 days 61 to I0 days 91 to 120 days ) 1-20 days Account <br /> Balance <br />