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SAN 30AQUIN COU IC HEALTH S&RVICES Report 15255 <br /> ENVIRONMENTAL HEALTH DIVIe'-TON St%`ement Printed : 10/17 /96 <br /> 304 E WEEDER AVENUE - 3RDOOR <br /> PO BOX 388 <br /> STOCKTON, CA 95201-0388 <br /> Accounting Officer 209 468-3420 <br /> TO : SCHAEFFER INDUSTRIES <br /> 141 S WESTERN COIL RD ,, Account # 0010884 <br /> LINDON , UT 84042 <br /> RTTN : CLARK K TAYLOR ESQ Facility ID 007328 <br /> RE : EMPTY LOT <br /> 1265 N SHAW RD STOCKTON <br /> PLEASE RETURN a COPY of THIS'STATENENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 031160 -- Date of Invoice:l 07/12/96 <br /> 07/16/96 PAYMENT $-234 . 00 <br /> 06 /28/96 2950 REPORT REVIEW 1 . 1 INFURNA $85 . 80 <br /> 07/01/96 2950 CONSULTATION 0 . 7 INFURNA $54 . 60 <br /> 07/09/96 2950 REPORT REVIEW �' 1 . 4 INFURNA $109 . 20 <br /> 07/12/96 2950 REPORT REVIEW 0 . 7 INFURNA $54 . 60 <br /> 07/22/96 2950 FIELD CONSULT 2 . 5 INFURNA $195 . 00 <br /> 07/23/96 2950 FIELD CONSULT 1 . 1 INFURNA $85 . 80 <br /> 07/24 /96 2950 FIELD CONSULT L 0 . 8 INFURNA $62 . 40 <br /> 10/02/96 PAYMENT $-413 . 40 <br /> 09/04 /96 2950 CONSULTATION Al 1 . 1 INFURNA $85 . 80 <br /> 09/05/96 2950 CONSULTATION 0 . 3 INFURNA $23 . 40 <br /> 09/12/96 2950 REPORT REVIEW 0 . 6 INFURNA $46 . 80 <br /> 09/16/96 2950 REPORT REVIEW 1 . 8 INFURNA $140 . 40 <br /> 09/18/96 2950 REPORT- REVIEW ;�; 1 . 1 INFURNA $85 . 80 <br /> 10/01/96 2950 CONSULTATION 0 . 5 INFURNA $39 . 00 <br /> 10/03/96 2950 REPORT REVIEW ;' 0 . 7 INFURNA $54 . 60 <br /> 10/09/96 2953 FIELD CONSULT II �2 . 8 INFURNA $218 . 40 <br /> 10/17/96 2953 REPORT REVIEW 2 . 0 INFURNA $156 . 00 <br /> ------------------------------------- <br /> �I Total for this invoice : , $850 . 20 <br /> Payment DUE DATE <br /> If this INVOICE has been Paid, Please Disregard this Notice i <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of 101 of the Service Fee <br /> at the rate of 100% 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 .. <br /> DUE this Billing Period: $850 . 20 <br /> i <br /> -Please Make CHECKS PAYABLE to: DF B•-•0 .0o' E7. 4.1 ND <br /> ~ $850 . 20 $0 . 00 $0 . 00 $0 . 00 $0 . 00 $850 . 20 <br /> 1. <br /> 0 to 30 days 31 to 60 days 61 to 90 daysi� 91 to 120 days } 120 days Account <br /> Balance <br />