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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTIV f Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0027355 <br /> INVOICE <br /> Facility ID FA0015782 <br /> Date Printed 2/3!2017 <br /> MENDEZ, JOSE L RE : MENDEZ, JOSE L <br /> 2962 S B ST 2962 S B ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : MENDEZ, JOSE L <br /> Date Health <br /> Program Description ` _V Amount <br /> Invoice# IN0290718---Date of Invoice: 2/3/2017 11111111 EIII III 11111 11111 11111 11111 11111 11111 11111 11111�1111 1111 111111 11111 1111 1111 <br /> 2/3/2017 1321 Enforcement Activity Charges $ 125.10 <br /> 0 Total for this Invoice I $ 125.10 <br /> Payment Due Date 3/5!2017_ <br /> TOTAL DUE this Billing Period $ 125.10 <br /> Pas. D <br /> PAYM j ED <br /> Rfcf <br /> SEB 11 2017 <br /> N <br /> NN 1/� <br /> SAN JOAQUIE�U <br /> NOTE:Afterarrviolations fiave been correctedandall <br /> outstanding enforcement costs fiave been paid, a release of <br /> ",Notice of violation"wifl6e submitted to the Sail Joaquin <br /> County W§corder's Office, if applicable. <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 HMBP 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.rpt <br />