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w4j vojSo c`!ov rccrnni rccvicw n q tnrnrcnn yvo . :ye <br /> 06/22/96 PAYMENT $-1 ,037 . 40 <br /> 06/17/96 2960 CONSULTATION 0 . 4 INFURNA $31 . 20 <br /> 06/19/96 2960 REPORT REVIEW 1;. 2 INFURNA $93 . 60 <br /> 06/20/96 2960 REPORT REVIEW 1 . 3 INFURNA $101 . 40 <br /> 06/20/96 2960 CONSULTATION 0 . 4 INFURNA $31 . 20 <br /> 06/20/96 2960 FIELD CONSULT 0 . 6 INFURNA "$46 . 80 <br /> O8/13/96 PAYMENT $-304. 20 <br /> 01/29/96 2960 REPORT REVIEW 0 . 6 INFURNA $46 . 80 <br /> 09/16/96 PAYMENT $-46 .$0 <br /> 11/06/96 2960 REPORT REVIEW 0 . 6 INFURNA $46 . 80 <br /> Total for this invoice: - $46.80 <br /> Payment DUE DATE - ®1-17/97 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> `cam a. ._a <br /> PENALTIES for all FEES for SERVICE will be SSESSED <br /> PENALTIES will be ASSESSED ov all ANNUAL PERMIT Fe at the rate of 108-.of- the Service Fee <br /> at the' rate of 1008 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 : $46.80 <br /> Please Make CHECKS PAYABLE to: A=" NN ,:6 0i: 0-A 0:;:0 <br /> 11$46 . 80 $0 .00 $0 . 00 $46 . 80 <br /> 0 to 30 days 31 to 60 days 61 to 90 days 91 to 120 days ) 120 days Account <br /> Balance <br /> y i � <br /> x <br />