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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART IT <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 Amount <br /> Invoice# IN0290718---Date of Invoice: 2/3/2017 11111 11111 HE 111111111111111 IN IN <br /> 2/3/2017 1321 Enforcement Activity Charges $ 125.10 <br /> Total for this Invoice $ 125.10 <br /> Payment Due Date 3/5/2017 <br /> TOTAL DUE this Billing Period $ 125.10 <br /> NOTE: gfteraffviolations have been conectedandall <br /> outstanding enforcement costs have been paid, a release of <br /> "Notice of Violation"will6e su6mitted to the San Joaquin <br /> County Recorder's Office, if app lica6le. <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 It <br />