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`4AN JOAQUIN COUia i `r Report 15255 <br /> ENVIRONMENTAL HEAL] ment Printed : 05/20/99 <br /> 304 E WEBER AVENUE <br /> STOCKTON , CA 9520, <br /> Accounting Office : 209 4ud-3420 <br /> TO : CENTRAL. CALIFORNIA KENWORTH <br /> 10998S HARLAN RD Account # 0017523 <br /> FRENCH CAMP , CA 95231 <br /> ATTN : JOHN BERNADICOU Facility 10 010523 <br /> � __ <br /> RE : CENTRAL CALIFORNIA KENWORTH <br /> 1099 S 'HARLAN RD <br /> FRENCH CAMP <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYNENT <br />•T I — Service Activity <br /> Date Description Hrs Employee Amount. <br /> Invoice # 057642 -- Date of Invoice : 05/18/99 <br /> 05 /18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $1E3 , 5rD <br /> Total for this invoice : 8 . 50 <br /> Payment DUE DATE <br /> :f this INVOICE has been Paid, Please Oisregard this Notice <br /> r, ;ivoice # 059846 -- Date of Invoice : 05/18/99 <br /> 1 )5 /18 /99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 , 00 <br /> 2220 SM HW GEN (5 TONS/YR $100 . 00 <br /> Total for this invoice : $110. 00 <br /> Payment DUE DATE -06/20 <br /> f this INVOICE has been Paid, Please Oisregard this Notice <br /> For all SERVICE FEES penalties gill <br /> Penalties will be added on all Permits be added at the rate of 102 61 days <br /> at the rate of lift of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter, <br /> _ TOTAL DUE this Billing Period: 11 $128 . 50 <br /> "la make Checks PAYABLE to: PHS/EHO <br /> JUL 16 ,9 <br /> !+N JJaCUI!v C:?urary <br /> HE,t;:"H SERVICES <br /> ENVIi.,,vE::cr!.A,n .ti�TH UiJISIOh <br /> r <br /> w• <br />