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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMI <br /> 600E MAIN STREET COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID ARoo17429 <br /> Facility ID FFT0610429 <br /> Date Printed 1/28/2008 <br /> DOUBLE A TRUCK SVC RE : DOUBLE A TRUCK SVC <br /> PO BOX 7310 1675 W CHARTER WAY D <br /> STOCKTON, CA 95267 STOCKTON, CA 95206 <br /> OWNER : ANDREW SALMERON SR <br /> Dete Health <br /> Program Description Amount <br /> Invoice# IN0170519—Date of Invoice: 1/25/2008 11111111111111111111 IN 1111111111111111111 <br /> 1/25/2008 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 285.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 522.00 <br /> Payment Due Date 2127/2008 <br /> TOTAL DUE this Billing Period S 522.00 <br /> 2I�� l'Q SZZ <br /> �0p� NT PAYME <br /> RECEIVED <br /> 2 <br /> 7 tJUg <br /> SAN'IOAOUI <br /> HEALTH�PAR E <br /> ry <br /> D <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES I HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />