Laserfiche WebLink
SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> E-NVIR'bNMENTAL HEALTH DIj(ZSION Statement Printed : 01/23/96 <br /> 304 E WEBER AVENUE — 3R LOOR <br /> PO q0 )38 <br /> STOC'KTeA , CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> TO : LOCAL FOOD STORE #1 <br /> 2650 MONTE DIABLO ST Account # 0003424 <br /> STOCKTON, CA 95203 <br /> ATTN : HAMEED KHAN Facility ID 003836 <br /> RE : LOCAL FOOD STORE #1 <br /> 2650 MONTE DIABLO ST STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service, Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 025749 -- Date of Invoice : 01/22/96 <br /> 01/22/96 2380 UST Permit Fee Tank # TA119101 $170 . 00 <br /> 01/22/96 2380 UST Permit Fee Tank # TA119102 $170 . 00 <br /> 01/22/96 2380 UST Permit Fee Tank # TA119103 $170 . 00 <br /> ------------------------------ ------ <br /> Total for this invoice: $510.00 <br /> Payment DUE DATE 02/21/96 <br /> If this INVOICE has been Paid, Please Disregard this Notice . <br /> PAYeAENI <br /> gcr�w:i�r�e <br /> FEB 211996 <br /> SAN JOAQU N COUr',i <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> �- f y <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 11% of the Service Fee <br /> at the rate of 111% of the Base Fee 31 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 31 days thereafter. <br /> TOTAL DUE this Billing Period : $510.00 <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary <br /> 510 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br />