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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Stlement Printed.': '. <br /> 09 /23/96 <br /> ENVIRONMENTAL HEALTH DIVIAWN <br /> 304 E WEBER AVENUE — 3RD OOR <br /> PO BOX 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> TO : DON ' S DANDY MART Account # 0010628 <br /> 934 CHISHOLM TRAIL <br /> GALT , CA 95632 <br /> Facility ID 007242 <br /> ATTN : LADON STRAPP — <br /> RE : DON ' S DANDY MART <br /> 20 W TURNER. RD LODI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity Amount <br /> Hrs Employee <br /> Date— Description _ <br /> Invoice M 027256 -- Date of Invoice : 04/10/96 $-234 : 00 <br /> 04 /09 /96 PAYMENT 0 . 7 MEAYS $54 . 60 <br /> 04/10 /96 2950 REPORT REVIEW 3 . 5 MEAYS $273 ' 00 <br /> 04 /12 /96 2950 FIELD CONSULT 0 . 4 MEAYS $31 . 20 <br /> 04 /12/96 2950 REPORT REVIEW $12 . 48 <br /> 08/15/96 Service—based Penalty $-12 . 48 <br /> 09/15/96 CORRECTION TO A CHARGE (PEN IN ERROR) ---------------- ------------- <br /> Total <br /> _—_ — _Total for this invoice : $124 .80 <br /> Payment DUE DATE <br /> If this INVOICE has been Paid, Please Disregard this Notice . <br /> P�A^.yMEA�N T <br /> 4&ECEa f�.�"k r) <br /> OCT - 81996 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> at the rate of 102 of the Service Fee <br /> PENALTIES will be ASSESSED on all BaseANNUAL PERMIT Fe 30 days after the Payment DUE DATE <br /> at the rate of 1802 of the Base Fee and EACH 30 days thereafter. <br /> 30 days after the Payment DOE DRTE, <br /> TOTAL DUE this Billing Period: $124 ' 80 <br /> Please Make CHECKS PAYABLE to ° 0II R.ii: 00II:.)' <br /> $0 . 00 $0 . 00 $0 . 00 $0 00 $124 . 80 $124 . 80 <br /> u =_= 91 to 120 day$ ) 120 days Account <br /> . 0 to 30 days 31 to 60 daps 61 to 90 days Y <br /> Balance <br />