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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPA_ , ENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> QUARTERLY Account ID AR0044606 <br /> STATEMENT OF EXPENSE Program ID PR0541898 <br /> INVOICE <br /> Facility IDFA0024034 <br /> Billing Period : 411/2017-6/30/2017 ��. <br /> Date Printed 7/10/2017 <br /> PENA,LEONIDES <br /> 4039 N WILMARTH RD RE: PENA,LEONIDES <br /> STOCKTON CA 95215 4039 N WILMARTH RD <br /> STOCKTON,CA 95215 <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0295007---Date of Invoice: 7/10/2017 ������ � � ������ ���11111111111111INX11111111111111IN <br /> 5/16/2017 SH54 SUBSTANDARD HOUSING-CASE ACTIVITY Office $69.50 <br /> 5/16/2017 SF54 SUBSTANDARD HOUSING-FIELD ACTIVITY $69.50 <br /> 6/16/2017 SF54 SUBSTANDARD HOUSING-FIELD ACTIVITY $139.00 <br /> Total for this Invoice $278.00 <br /> Only this amount is subject to <br /> appeal' 8/9/2017 <br /> Please make Checks PAYABLE to : EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> *Right to Appeal : You have the right to appeal this Quarterly Statement of Expense by filing a written <br /> appeal, along with the $78.00 filing fee, within 30 calendar days of the date the Statement was mailed. <br /> Pursuant to San Joaquin County Ordinance Code, Section 8-5401(e), all unpaid costs are processed and <br /> placed on the property taxes as a Special Tax Assessment. <br /> Note: A Release of Notice of Violation or Release of Lien will be recorded with the San Joaquin County <br /> Recorder's Office after all violations are corrected and all costs are paid in full. <br /> F-- <br /> 0 to 30 days 31 to 60 days' 61 to 90 davs 91 to 120 da s7:7 > 120 days Account Balance <br /> L$1278.00 $0.00 $ 0.00 $0.00 $ 0.00 $278.00. <br /> 5250,rpt <br />