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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART IT <br /> Page 1 <br /> 1868 E HAZELTON AVENUE f <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> This invoice requested by and produced <br /> Account ID AR002704 <br /> for:Placer Title Company/Rosalba Iniguez INVOICE <br /> 2800 W. March Lane,#100 Facility ID FA0015640 <br /> Stockton CA 95219 <br /> Esc: P-184008 Date Printed 12/12/2016 <br /> RODRIGUEZ, MAYRA RE : RODRIGUEZ, MAYRA <br /> PO BOX 6734 2156 S B ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : RODRIGUEZ, MAYRA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0281798---Date of Invoice: 7/25/2016 11111 11111 1111 111111 11111 IN IN <br /> Hrs Employee <br /> 5/26/2016 1322 C54-Office-Case Review,Permit Check 0.30 SANGALANG $ 39.00 <br /> Total for this Invoice $ 39.00 <br /> PAST DUE <br /> Invoice# IN0283316---Date of Invoice: 10/5/2016 11111111 E111 III IIIII IIIII TO IIIII IIIII 11111 11111 11111 1111 111111 11111 1111 IN <br /> Hrs Employee <br /> 7/21/2016 1322 H54-SUBSTANDARD HOUSING-CASE ACTIVITY Off 0.30 SANGALANG $ 39.00 <br /> Total for this Invoice $ 39.00 <br /> Payment Due Date 11/4/2016 <br /> Invoice# IN0285559---Date of Invoice: 12/12/2016 11111 1111 111111 11111 1111 IN <br /> 12/12/2016 1374 Recording Fee-Release Notice of Violation $ 20.00 <br /> Totalfor Invoice $ 20.00 <br /> Payment Due Date 1/11/2017 <br /> TOTAL DUE this Billing Period $ 98.00 <br /> NOTE: After af[viorations have been corrected and all <br /> outstanding enforcement costs have been paid, a release of <br /> "9Votice of Violation"will6e submitted to the San Joaquin <br /> County Wfcorder's Office, if applica6le. <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 allE <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalt' beId a nuof 107 <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after: e n ice Date n e 0 Days thereafter <br /> 5254.rpt — <br />