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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> QUARTERLY Account ID AR0027355 <br /> STATEMENT OF EXPENSE Case# 012710 <br /> INVOICE <br /> Facility ID FA0015782 <br /> Billing Period : 1/1/2015-3/31/2015 <br /> Date Printed 4/30/2015 <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# IN0265909---Date of Invoice: 4/30/2015 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII 11111111 <br /> 3/4/2015 SC54 Office-Case Review,Permit Check $65.00 <br /> 3/4/2015 SP54 Office-Phone,Counter Consultation 13.00 <br /> Total for this Invoice $78.00 <br /> �5 23 3� Only this amount is subject to appeal` <br /> Payment Due Date /2015 <br /> Please make Checks PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> M �QFC�M 1111CGT <br /> qrz <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 /> $78.00 $0.00 $0.00 $0.00 $0.00 $78.00 <br /> 5250.rpt <br />