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-r� F _ ELIC HEALTH SE F.`JI CES Rep:rt44;SS <br /> • . ' L r,cA01V ' ION Stemer, t_ Pr- inted9 <br /> 304 E' VE E AVE-4:t 3 R G L OOR <br /> .;TOCKTC- : A 9520 <br /> Ac C.OUrltJ f`. ice 209 468-3420 <br /> TO : NORTHERN CALIF WOMEN ' S FACILIT -- <br /> PO BOX 213096 Account # 00169773 <br /> STOCKTON , CA 95213 <br /> ATTN : ACCOUNTING Facility I4 009973 <br /> K et�'� trir� CALIF k•.1.1tN ` S rAL1L1TY <br /> 7150 E ARCH RD <br /> STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> rrhtn H r s Employe(- Amount <br /> Invoice 057119 -- Date of Invoice : 05/18/99 <br /> 1 : !9 2_:= L. , IFIEO PROr;�:Af" FAC STATE SERVICE FEE 818 . 5© <br /> Total for this invoice : $18. 50 <br /> Payment DUE DATE 0/9 <br /> I` thisri.a;_ Disregard this Notice <br /> �S ;SC,v -- Dai.$ c,f invoice : 05/18/99 <br /> Z S GE IN <5 TONS/YR 03 00 <br /> o5 !1 _. / _ 2 :. ._ == :I FIEri - ROG°Ar FAC STRTF SERVICE FEE : 10 . Ce <br /> --------------- <br /> Total for this invoice : 110 .00 <br /> Payment DUE DATE 9 <br /> if t`,is IN';;:._ r,es t;v Card, Please Disregard this Notice PAYr�ru�E9NT <br /> G(A&j rY <br /> P"LJC HEALTH S`'RVIC,.S <br /> ENVIRONMENTAL HEALTH DIVISION <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of lit 61 days <br /> at the rate of 111% of the Base Fee 31 past invoice date and each 31 days <br /> days after the due date, thereafter. <br /> TOTAL DUE this Billing Period: $128 . 50 <br /> Please make Checks PAYABLE to: PWS/EHD <br />