Laserfiche WebLink
P5F <br /> AQUIN COUNTY PUBLI`" HEALT*.V$9,% DICES Report #5255 <br /> NMENTAL HEALTH DI\ ON S '9ment Printed : 05/20 /99 <br /> ,04 E WEBER AVENUE — 3RD ,.BOOR <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> TO : STOCKTON AUTO DISMANTLERS INC �—�= _ _ _ _ -•.: _._ <br /> 3239 S EL DORADO ST Account #k 0017097 <br /> STOCKTON , CA 952.06 ---- -------� <br /> ATTN : DAVID W POTTSFacility ID 010097 u <br /> RE : STOCKTON AUTO DISMANTLERS INC <br /> 3239 S EL DORADO ST <br /> STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice 0 057239 -- Date of Invoice: 05/18/99 <br /> 05/18 /99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE . 50 <br /> Total for this invoice: .5 <br /> Payment DUE DATE 20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Invoice #1 059432 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2220 SM HW GEN (5 TONS/YR $100 . 00 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FETE . 00 <br /> ____-------------------------------- <br /> Total for this invoice: ;110_ <br /> , <br /> Payment DUE DATE 0 2-0/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> PAYMENT <br /> RECEIVED For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits9 iqW be added at the rate of 108 60 days <br /> at the rate of 1003 of the Base Fee 30 � ` i7 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> PUSUC H p�� CEUNC S <br /> T0j04NMBN7AB-M PyWi 11 n g Period : $128 . 50 <br /> Please make Checks PAYABLE to : PHS/EHD <br />