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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM& • Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0022661 <br /> Facility ID FA0013552 <br /> Date Printed 3/21/2008 <br /> A&A CONCRETE SUPPLY INC-TRACY RE : A&A CONCRETE SUPPLY <br /> 8272 BERRY AVE 10250 W LINNE <br /> SACRAMENTO, CA 95828 TRACY, CA 95377-9128 <br /> OWNER : CAILLIER, ANDRE P <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0174428---Date of Invoice: 3/21/2008 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII IIIII IIIII VIII IIII IIIIII VIII IIII IIII <br /> 3/21/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> Total for this Invoice $ 213.00 <br /> Payment Due Date 4/20/2008 <br /> TOTAL DUE this Billing Period $ 213.00 <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/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 /> i254.rpt <br />