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AN JOAQUIN COUNTY PUB I_C `IEALTH SERVICES Report €5255 <br /> E'NVIRONMENTA ! HEALTH D V ON St ament Printed : 05/20/99 <br /> <br /> <br /> 20 46S-3420 <br /> TO : KRAGFN AUTO PARTS <br /> PO BOX 60 0 Account # 0017975 <br /> PHOENIX , AZ 8 005 <br /> ATTN ; KM HOIALi' S /RI ' MGMT II F :.iLi.1 ty 10 010975 <br /> RE : KR^,GEN AUTO PARTS #1452 <br /> 309 W CHARTER -JAY <br /> STOCKTON <br /> (EASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Deac:ript.iori Hrs Empl.oyc•c- Ampunt <br /> Invoice # 058077 -- ate of Invoice : 05/18/99 <br /> 05 /1S/19 2399 UNIFIED PROGRAM FAC STATE SER`ti'IC= rEF $18 50 <br /> — -7— - -'i <br /> Total for this invoice : $18 .50 <br /> Payment DUE DATE /20/9 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Invoice # 050285 -- Date of Invoice : 05/18/99 <br /> OS /13 /99 2220 SM HW GEN ( S TON'S/YR $100 . 00 <br /> 05118/99 2399 UNIFICO PROGRAM FAC STATE SERVICE FES 110 . 00 <br /> Total for this invoice : $110. 00 <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, Rease Disregard this Notice <br /> For all SERVICE FEES penalties will <br /> Penalties will be added n all Permits be added at the rate of 10% 60 days <br /> at the rate of 100% of t e Base Fee 30 past invoice date and each 30 days <br /> days after the du date. thereafter. <br /> TOTAL DUE this Billing Period : $128. 50 <br /> Please make Checks PAYABLE to : PHS/.EHD <br /> PAYMENT <br /> P -CEIVED <br /> .JUN 2 8199,9 <br /> • G ` u rrt:-I'Ft+/afF.S rte,. <br /> � -.....lYr:�:a•: "tG t�L'e�d.l i1 L�4'2.ii�IV <br />