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;AN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> -101IR(INMENTAL HEALTH DIVISION StPrement Printed : 01 /23/96 <br /> I E EjEBER AVENUE — 3RD OR i <br /> eox 388 <br /> P <br /> sTOCKTON , CA 95201-0388 <br /> Accounting Office: 209 ,468-3420 <br /> 9 J: r 1 c :i:. c: Cx <br /> 1'0 : SIOCKTON EAST WATER DISTRICT _ <br /> PO BOX 5157 Account # 0003657 <br /> STOCKTON , CA 95205 <br /> ATTN : STOCKTON EAST WATER DISTRICT �acility ID 004024 <br /> RE : STOCKTON EAST WATER DISTRICT <br /> 6767 E MAIN ST STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT. <br /> Service Activity <br /> �- Date Description Hrs Employee Amount <br /> invoice # 025841 -- Date of Invoice : 01/22/96 <br /> 01/22/96 2380 UST Permit Fee Tank # TA1856O1 $170 . 00 <br /> 01/22/96 2380 UST Permit Fee Tank # TAISS602 $170 . 00 <br /> 01/22/96 2380 UST Permit Fee Tank # TA1856O3 $170 . 00 <br /> Total-for this invoice :---- �519 .00 <br /> Payment DUE DATE 0 0 <br /> If this INVOICE has been Paid, Please Disregard this Notice . <br /> �ip�"9 Ti+fk:�4 <br /> RECEIVE'L) <br /> FEB 151996 <br /> SAN JOAQUIN COUN"X <br /> P'J9LIC HEALTH SERVICES <br /> ENVIRONMENTAL HEAtTH DFVHSI4 .--- <br /> S <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the, rate of 16% of the Service fee <br /> at the rate of 161i of the base Fee 31 days after the Payment DUE DATE <br /> 31 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period: <br /> --- -- �=--- <br /> i ccount 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary - — —_-- -- —_ <br /> b <br /> 510 . 00 0 . 00 0 . 00 0 . 00 V 0 . 00 <br />