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SAN JOAOUIN COUNTY Page 1 ENVIRONMENTAL HEALTH DEPT, .'MENT 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Phone: (209)468-3420 QUARTERLY Account ID AR0045994 STATEMENT OF EXPENSE Program ID PR0543076 INVOICE Billing Period : 4/1/2018-6/30/2018 Facility ID FA0024610 Date Printed 8/10/2018 F SPINGOLO WAREHOUSE CO 1011 N BROADWAY RE: F SPINGOLO WAREHOUSE CO STOCKTON CA 95205 3205 E ANITA ST STOCKTON,CA 95205 Health Date Program Description Hrs Employee Amount Invoice# IN0310157---Date of Invoice: 8/8/2018 11111 1111 111111 11111 1111 IN 4/19/2018 SH54 SUBSTANDARD HOUSING-CASE ACTIVITY Office $152.00 4/20/2018 SH44 SUBSTANDARD HOUSING-INITIAL CASE PREP $152.00 5/4/2018 SH54 SUBSTANDARD HOUSING-CASE ACTIVITY Office $15.20 5/10/2018 SH44 SUBSTANDARD HOUSING-INITIAL CASE PREP $76.00 5/11/2018 SH44 SUBSTANDARD HOUSING-INITIAL CASE PREP $30.40 5/14/2018 SH54 SUBSTANDARD HOUSING-CASE ACTIVITY Office $45.60 Total for this Invoice $471.20 Only this amount is subject to appear Payment Due Date 9/7/2018 Please make Checks PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYMENT *Right to Appeal : You have the right to appeal this Quarterly Statement of Expense by filing a written appeal, along with the$78.00 filing fee,within 30 calendar days of the date the Statement was mailed. Pursuant to San Joaquin County Ordinance Code, Section 8-5401(e), all unpaid costs are processed and placed on the property taxes as a Special Tax Assessment. Note: A Release of Notice of Violation or Release of Lien will be recorded with the San Joaquin County Recorder's Office after all violations are corrected and all costs are paid in full. 0 to 30 days 31 to 60 days 61 to 90 days 91 to 120 days 120 days Account Balance $471.20 $0.00 $0.00 $0.00 $0.00 $-'71.20 5250.rpt '�