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SAN JOAUUIN COUNTY PUBLIC HEALTH SERVICES Report #5200 <br /> E-NV 1`iil'3NMENTAL HEALTH DI ON <br /> 445' i4 SAN JOAQU I N <br /> Pb BOX 2009 <br /> STOCKTON, CA 95201 209--468-034 ` : �w �-0�•, 2 8 <br /> IM <br /> Invoice # Date <br /> TO: PG AS PRODUCTS <br /> 4911 WINDPLAY DR #4 �f +1-04;::i5t.'�i <br /> EL DORADO HILLS, CA 95762 <br /> ATTN., SIERRA--PACIFIC GROUNDWATER .bN Facility ID <br /> 'll <br /> RE: PG AS PRODUCTS � 004519 <br /> 2130 W WASHINGTON STOCKTON L f <br /> f 51._c6SE RE` U- Rtd INVOICE P40TICE WIf14 PAYMENT <br /> 1 <br /> Health <br /> Date Program Description Amount <br /> is <br /> 12/21/93 9994 Service-based Penalty 17. 94 - <br /> 07/20/9:3 5315 REPORT REVIEW, 62. 40 <br /> 01+9/21/93 5315 REPORT REVIEW -atr . _.. =. 65. 80 5 <br /> 08/25/9.3 5312 CONSULTATION 31. 20 <br /> Total for this invoice: <br /> Z� otgo� <br /> PAYMENT <br /> RECFIVFn t �� <br /> .!AV- 1A 1114 <br /> r; YiK:E5 <br /> E;�V•��if�:�:t.i�;�,_,-iE��?h�iv1�lON <br /> PENALTIES on all PERMITS FEES will be assessed at the rate of 100 <br /> of the Base Fee amount 60 days after the INVOICE DATE <br /> t 1-30 Days 31-60 Days f >ry1-90 Da., s If -31-1 `:0 DaVsi 121-1- Plus f Amount Due i <br /> 0. 00 k'+. 0Q1 197. 'b4 0. 01+0 0. 00 19 7. 34 <br /> it <br /> PENALTIES for all SERVICE FEE b" l. ling will be assessed at the rate of <br /> 10% of the unpaid Invoice Balance 60 days after the INVOICE 'DATE and <br /> each 30 bays thereafter <br /> a � <br /> L <br /> S <br />