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01 EQUIPMENT SERV 4� N2 16223 <br /> DIV. OF KEITH A.TALLIF STUB 700 <br /> DEDUCT IONS TOTAL NET <br /> TOTAL DEDUCTIONS CHECK <br /> HOURS RATE AMOUNT EARNED D.I. ST WM FED.WIH O.p S.i. <br /> WORKED <br /> REQ. <br /> O.T. <br /> i <br /> T <br /> SOC.SEC.NO. <br /> NAME AMOUNT OF DISCOUNT Q Q <br /> DATE DESCRIPTION CODE INVOICE DU <br /> 1.5 <br /> � j TOTALS <br /> DETACH AND RETAIN THIS STATEMENT <br /> THE ATTACHED CHECK IS IN PAYMENT OF NEMS DESCRIBED ABOVE <br /> ADDRESS �P.0 `8C/, <br /> CITY/STATE �plti �n3,>(zE> s �f ZIP <br /> PROGRAM l)j(1 <br /> DESCRIPTION OF SERVICE(S) : <br /> DATE TOTAL WEEKDAYS WEEKNIGHTS WEEKENDS/ SERVICE <br /> OF HOURS 8AM-5PM 5PM-8AM HOLIDAYS PERFORMED/ <br /> SERVICE WORKED $35/HOUR $,53 "/HR. $70/HOUR INSPECTOR <br /> � 3.4 <br /> x 33/H 2� 15q= <br /> TOTALS ia.� , <br /> BALANCE DUE: <br /> BILLING DATE: 12/31/90 <br /> PAYMENT IS TO BE RECEIVED 30 DAYS FROM THE BILLING DATE. PENALTIES WILL BE <br /> APPLIED TO PAST DUE ACCOUNTS 30 DAYS FROM BILLING DATE. <br /> RETURN ONE (1) COPY OF THIS BILL WITH PAYMENT. MAKE CHECKS PAYABLE TO: <br /> PUBLIC HEALTH SERVICES, SAN JOAQUIN COUNTY <br /> UNIT III 12/90 <br />