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d'JOAQUIt4. COUNTY PUBLIC HEALTH SERVICES Report 15255 <br /> 'IiVIR0N(lENTAL HEALTH DIVISION Statement Printed : 04 /23/97 <br /> /304 E WEBER AVENUE — 3RD FLOOR <br /> STOCKTON . CA 95202 <br /> Accounting Office : 209 468-3420 <br /> :gip:: v 'y,+ a::7 :dC. c;. e:�r <br /> TO : SIMS—GRUPE MGM CORP — <br /> 615 LINCOLN CENTER Account # 0009862 <br /> STOCKTON , CA 95207 <br /> ATTN : WILBUR SMITH Facility ID 006946 <br /> RE : PARKWOQDS SHOPPING CENTER <br /> 1700 N HAMMER LN STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description <br /> Hrs Employee __ Amou int^ <br /> Invoice # 019081 -- Date of Invoice: 06/06/95 <br /> 06/06/95 PAYMENT $-234 . 00 <br /> 06 /07 /95 2950 FIELD CONSULT 1 . 0 TURKATTE $78 . 00 <br /> 05/30/95 2950 REPORT REVIEW 1 . 0 TURKATTE $78 . 00 <br /> 08/16 /95 2950 CONSULTATION 0 . 3 TURKATTE $23 . 40 <br /> 02/26/97 2950 REPORT REVIEW 1 . 0 MEAYS $78 . 00 <br /> 03/04 /97 2950 REPORT REVIEW 0 . 4 MEAYS $31 . 20 <br /> --------------------------------------- <br /> Total <br /> ------------------------- --------- <br /> Total for this invoice : $54 . 60 <br /> Payment DUE DATE <br /> If this INVOICE has been Paid, Please Disregard this Notice . . <br /> PAYMENT <br /> PECOVED <br /> JUN 21997 <br /> SAN JOAQUIN COUNTY <br /> PUBUC HEALTH SERVICES <br /> CSION <br /> ENVIRONMENTAL HEAL <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of 102 of the Service Fee <br /> at the rate of 1002 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 : i $54 .6 <br /> Please Make CHECKS PAYABLE to: G:^ A 0 EEiil ,r"' F.7.. k1 A.0 <br />