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SM4 JOAQUIN COUNTY PUBLIC HEALTHSERVICES 7 <br /> E +IRPdMEiVTA,L FtALTH DI�IIc OrJ ement Printed : 09 /23/96 <br /> ��E .WEBER At ENUE -- 3RD <br /> I PO SOIX 388 <br /> STOC.KTON:, CA 95201-0388 � <br /> Accounting Office :' 209 468,1-34201. (4 <br /> TO ; AMERICAN MOULDING 4 1?I�LL�WORK <br /> 2801 - WEST LANE / Account # 0003672 <br /> STOCKTON , CA 95Y08 — I <br /> TTN--.' `B'Er"RNI'E- SLOOP -F"aci 1i.ty"ID 00,4032 -1 — — <br /> IRE: : AMERICAN MOULDING & MILLWORK <br /> — <br /> I 281 L�1E ST LArJE STOCKTON <br /> G9I <br /> �'�, <br /> PLEASE RETURN a COPY o THIS STATEHEHT with YOUR PAYpEEN, <br /> I . Service Activity <br /> Date Description Hrs Employee Amount <br /> I Invoice # 032,364 -- Date of -I rvoice: 09-/23/96 <br /> 08/26/96 2-953' CONSULTATION 3 . 0 . SASSOrJ $234 . 0 <br /> Total- for this invoice : $ 0 <br /> Payment DUE DATE 10/24/96 ! <br /> If this INVOICE has been Paid,. Please Disregard this Notice . . <br /> rr <br /> :- PAYMENT <br /> OCA" - 71996 <br /> SAf J AlJlfv 00UNT1 <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ► 61r n <br /> i PENAITIE-S for all FEES for SERVICE will be ASSESSED <br /> I PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of 10% 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 /> NOTAL DUE this Billing Period: $234. 00 <br /> _.Please 'M6k'e CHP CKS _PAYABLE to, B: ° IFN <br /> $234 , 00 "T $0 . 00 $0 . 00 $0 , 00 $234 , 00 <br /> I 0 to 30 days 31 to 60 days 61 to 90 days 91 to-120 days } 120 days Account <br /> Balance <br /> I <br />