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V, <br /> `At., 7 IN COUNTY PUBL: HEALTH SERVICES Report 15255 <br /> EPs"'?s; 44 NTAL HEALTH DI' ION S dement Printed : 09/22/99 <br /> 'Q, H' '� 1 WER AVENUE 3Rti FLOOR <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> ar <br /> _T. 1"11 'awe'" C.:M X. C."": d3iifF. <br /> TO : HAKEEM , ELLIS , SIMONELLI & MAR —�- - - - <br /> 2800 W MARCH LN STE 200 ACCOUnt # 0019329 <br /> STOCKTON , CA 95215 =---- -- <br /> ATTN : MIKE HAKEEM 1 Fadi i ID 012090 <br /> RE : FORMER DELTA PAPER CO <br /> 401 S LINCOLN AVE <br /> STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> [Date Description Hrs Employee Amount <br /> Invoice # 064619 -- Date of Invoice : 09/21/99 <br /> 08/02/99 2950 REPORT REVIEW 0 . 5 OZ $39 . 0 <br /> Total for this invoice: $39 . 00 <br /> Payment DUE DATE 1 23/9 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> i <br /> For all SERVICEIFEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 10% 60 days <br /> at the rate of 100% of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : r�19 . 00 <br /> Please make Checks PAYABLE to : PHS/END <br /> PAYMENT <br /> R 051ED a <br /> 4 <br /> M9i <br /> Shit J�JAU(ji;N COUNTY <br /> PUBUC HEALTH EI <br /> EWRO MENTAL HEAfTH'DIV610N <br /> 4r <br />