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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEP' -MENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> QUARTERLY Account ID AR0027355 <br /> STATEMENT OF EXPENSE Case# F -01-2-7- <br /> - <br /> Facility ID FA0015782 <br /> Billing Period : 4/1/2015-6/30/2015 <br /> Date Printed 7/6/2015 <br /> MENDEZ,JOSE L <br /> 2962 S B ST <br /> STOCKTON CA 95206 RE: MENDEZ,JOSE L <br /> 2962 S B ST <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0268219---Date of Invoice: 7/6/2015 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII 11111 1111 IIIII�II <br /> 5/14/2015 SC54 Office-Case Review, Permit Check $26.00 <br /> Total for this Invoice $26.00 <br /> Only this amount is subject to appeal <br /> Payment Due Date 8/5/2 <br /> Please make Checks PAYABLE to : EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> PA�V <br /> RE NJED <br /> �uL 21 J415 <br /> GOVNT� <br /> SA ENAQ�1N N- <br /> O �,A,�SMENT <br /> HEALTH DE <br /> *Right to Appeal : You have the right to appeal this Quarterly Statement of Expense by filing a written appeal, <br /> 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 /> 0 to 30 days 31 to 60 days 61 to 90 days 91 to 120 days > 120 days Account Balance <br /> $26.00 $ 0.00 $ 0.00 $ 0.00 $0.00 $26.0 0 26.00 <br /> 5250.rpt <br />