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SAN JOAQUIN COUNTY <br /> ENWRONMENTAL HEALTH DEPARTIVicNT <br /> HOUSING PROGRAM STATEMENT OF EXPENSE WORKSHEET <br /> Billing Party I_ Site Information <br /> -P►n9o►b Udo-�ei"Ia�,��G �2.v� � .-�ri ti�.`�� <br /> loll l� • A�`�yZos <br /> SIC , <br /> Total Costs Summary <br /> Costs Type Amount <br /> Total Staff Time and Activity Charges from below (132 1) �6 p <br /> Title Search Actual Costs (1371) <br /> Other Actual Costs <br /> Records Documents Actual Costs (1364) <br /> Notice of Abatement Action/Notice of Violation Recorded Document Actual Costs (1374) <br /> Release of Abatement Action/Rele e of Notice of Violation Recorded Document Actual Costs (1374) <br /> Affordable Housing and Jobs Act (State Fee) (1375) <br /> Demolition Actual Costs from Contractor Invoice (1380) <br /> Securement Actual Costs from Contractor Invoice (1381) <br /> Previously Billed - Unpaid Enforcement Cos fz OU tIr } �I-1 I •ZD <br /> �- L Total EHD Costs: <br /> Billing Type l/ 32,251 -J Co <br /> ❑ Demand Billing ❑ Final Billing ❑ Progress Billing Quarter: Year: zb <br /> Compilation and Review <br /> Compiled By: Date: tb g <br /> Reviewed By: l--N Date: 10-9 -/ y <br /> Housing Services List for <br /> Activity Activity <br /> Date PE Service Description Hrs Hrly Rate Charge <br /> Total Staff Time and Activity Charges for this Facility (1321) : <br /> 1Nci315�`t`� �9 ro/j� <br /> 10/02/2018' 1 <br />