Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> EN.111ROWENTAL HEALTH DEPARTM T • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID FAR0003514711 <br /> Facility ID FA0003922 <br /> Date Printed 2/27/2006 <br /> CEMEX RE : CEMEX <br /> PO BOX 5252 30350 S TRACY BLVD <br /> PLEASANTON, CA 94566 TRACY, CA 95377 <br /> OWNER : CEMEX <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142820---Date of Invoice: 1/27/2006 IIIIIIIIIIIIIIVIIIVIIIVIIIVIIVIIIVIIVIIIVIIIVIIIIIIIIII 111111111 IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/VR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 330.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 554.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 554.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 7 2006 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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.mt <br />