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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPA RENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> QUARTERLY Account ID AR00 0 <br /> STATEMENT OF EXPENSE <br /> Case# 012586 <br /> Billing Period : 10/1/2014-12/31/2014 <br /> Facility ID FA0015640 <br /> Date Printed 2/6/2015 <br /> ROBINSON, MAXINE <br /> 1019 32ND ST <br /> OAKLAND CA 94608 RE: ROBINSON, MAXINE <br /> 2156 S B ST <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0263539---Date of Invoice: 2/5/2015 11111111 111111 III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII 11111111111 <br /> IIII IIII <br /> 12/12/2014 SC54 Office-Case Review,Permit Check $39.00 <br /> 10/2/2014 SC54 Office-Case Review,Permit Check $65.00 <br /> 10/28/2014 SC54 Office-Case Review,Permit Check $13.00 <br /> Total for this Invoice $117.00 <br /> Only this amount is subject to appeal* <br /> Please make Checks PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYMENT <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 /> $ 199.98 $0.00 $ 0.00 $ 100.46 $ 1,650.50 $ 1,950.94 <br /> 5250.rpt <br />