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ShN J1 ,AWOJ.N COUNIY I'UE3LJ HEALTH SERVICES Report ►5255 <br /> ENVIRONMENTAL HEALTH DIV ON SL ament Printed : 05/20/99 <br /> 304 <br /> <br /> ice : 209 468-3420 <br /> i <br /> T 0 : LIBERTY FIRE DISTRICT <br /> 24124N BRUELLA RD Account # 0016469 <br /> ACAMPO , CA 95220 <br /> ATTN : KAREN KAMMERER Facility ID 009469 <br /> RE : LIBERTY FIRE DIST <br /> 2412 N BRUELLA RD ! <br /> I <br /> ACAMPO <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description H r s Employee Amaunt i <br /> I <br /> Invoice #' 056665 -- Date of Invoice: 05/18/99 <br /> i <br /> 05/18/99 2.399 IJNIF.IE:D PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> Total for this invoice : $18. 50 <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> ,oice # 058825 -- Date of Invoice : 05/18/99 <br /> 05/18/99 22.20 SM HW GEN <5 TONS/YR $.1001 . 00 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> Total for this invoice : $110.00 <br /> Payment DUE DATE 06/20/99 i <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> � MsSE " D <br /> JUN 2 11999 <br /> ..1,�);1'r%:ir,�ccl INT" I <br /> r!In.if �1''' 111 <br /> "'��!TN'j'0c'41 nu�;l G � idHnalties will <br /> Penalties will be added on all Permits be added at the rate of 111 61 days <br /> at the rate of 110% 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 : PHS/EHD <br />