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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> HOUSING PROGRAM STATEMENT OF EXPENSE WORKSHEET <br /> Billing Party Site Information <br /> MENDEZ, JOSE L MENDEZ, JOSE L <br /> 2962 S B ST 2962 S B ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> Total Costs Summary <br /> Costs Type Amount <br /> Total Staff Time and Activity Charges from below (1321) <br /> Title Search Actual Costs (1371) <br /> Postage Actual Costs (1372) <br /> Records Documents Actual Costs (1364) <br /> Notice of Abatement Action/Notice of Violation Recorded Document Actual Costs (1374) <br /> Release of Abatement Action/Release of Notice of Violation Recorded Document Actual Costs (1374) <br /> Demolition Actual Costs from Contractor Invoice (1380) <br /> Securement Actual Costs from Contractor Invoice (1381) <br /> Other Actual Costs E3—� <br /> Total EHD Costs: <br /> Billing Type <br /> ❑ Demand Billing ❑ Final Billing ❑ Progress Billing Quarter: Year: Zpl� <br /> Compilation and Review <br /> Compiled By: _ Date: i 2(D 1-7 <br /> Reviewed By: Date: <br /> Housing Services List for : PR0523358 / FA0015782 - MENDEZ, JOSE L <br /> Activity Activity <br /> Date PE Service Description Hrs Hrly Rate Charge <br /> 1/4/2017 1322 F54 - Field Visit-Status Check or Final Inspection 0.50 139.00 69.50 <br /> 1/4/2017 1322 H54 - Office-File Doc, Notices, Letters, Photo Log 0.40 139.00 55.60 <br /> Total Staff Time and Activity Charges for this Facility (1321) : 125.10 <br /> _Tk(dz9o71 �'/3l/7 <br /> 01/26/2017 1 <br />