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COMPLIANCE INFO_2022
EnvironmentalHealth
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1600 - Food Program
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PR0535559
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/21/2022 12:44:15 PM
Creation date
11/16/2022 7:51:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0535559
PE
1615
FACILITY_ID
FA0020505
FACILITY_NAME
ARTESIAN HEALTH FOODS II
STREET_NUMBER
2251
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21402032
CURRENT_STATUS
01
SITE_LOCATION
2251 W GRANT LINE RD STE 125
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\jcastaneda
Tags
EHD - Public
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Jergen's Inc. Invoice <br /> COMMERCIALIINDUSTRIALREFRIGERATION Date Invoice# <br /> Ice Making Equipment:Sates-leasing-Service 11/28/2022 69433 <br /> 1 627 East Oak Street-Lodi, California 95240 <br /> (209)333-1485 • (209)333-1490 C.C.L.#570694 <br /> Artesian Health Foods Artesian Health Foods D n O C 2 C S <br /> 2551 W.Grant Line Rd 2551 W.Grant Line Rd ` K ✓J J <br /> #125 #125 <br /> Tracy,CA 95377 Tracy,CA 95377 <br /> P.O. No. Terms Due Date Rep Ship Date Project <br /> Net 15 Days 12/13/2022 AP 11/23/2022 <br /> Qty Description Rate Amount <br /> 1 Digital Controller 95.88 95.88T <br /> 1 R290 40.00 40.00T <br /> 1 Freight Charges 20.00 20.00T <br /> I Fuel Surcharge 26.00 26.00 <br /> 3.25 Blue Air Glass Door Cooler: 120.00 390.00 <br /> Installed new digital controller.Found unit low on charge.Picked up <br /> refrigerant from supply house.Returned.Charged unit.Recommend leak <br /> search next time unit goes low. <br /> Model#BKGM49 Serial#KGM49-W-TO2-0053 <br /> WO#42984 <br /> Subtotal $571.88 <br /> Sales Tax (8.25%) $1286 <br /> TERNS:The signed buyer purchases,subject to the tens and conditions he=[,the above property with <br /> attachments and equipment It is specifically understood and agreed that the above listed equipment remains the <br /> Property of JERGENS INC.until it is paid for in full by cash and the leans and conddwns are fully performed. Total $584.74 <br /> TERMS ARE NET CASH,1%,%interest per with added on any and all amounts due over 30 days <br /> All materials or equipment is sold by JERGENS INC subject to taints and conditions on both this(on <br /> and ongmal invoice. <br /> If IM said JERGENS INC.is required to commence any legal action to recover possession of saga Payments/Credits $0.00 <br /> Equipmentpans or money due hereunder.I agree to pay reasonable artomeys fees or collection <br /> costa mcuned i such action Balance Due <br /> JERGENS INC Liability in all events is limited to the purchase pa4,there is no provision for damages or $584.74 <br /> consequential damage in this agreement.The respective parties fully understand the fo egomg agreement. <br /> CUSTOMER SIGNATURE DATE <br /> 15 <br />
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