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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEP. fMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON. CA 95205 <br /> Phone: (209)468-3420 <br /> QUARTERLY AccountlD AR0042950 <br /> STATEMENT OF EXPENSE Program ID PR0540807 <br /> INVOICE <br /> Facility ID FA0023329 <br /> Billing Period : 4/1/2016-6/30/2016 <br /> Date Printed 7/26/2016 <br /> TUCKER,JIMMY A SR <br /> 4321 E GUERNSEY AVE RE: TUCKER,JIMMY A SR <br /> STOCKTON CA 95215 5533 E ARDELLE AVE <br /> STOCKTON, CA 95215 <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0281832---Date of Invoice: 7/25/2016 I IIIIIII IIIIII III IIIII IIIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 4/22/2016 SC54 Office-Case Review,Permit Check $26.00 <br /> Total for this Invoicel $26.00 <br /> Only this amount is subject to appeal` <br /> Payment Due Date 8/25/2016 <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 /> $26.00 $ 0.Q0 $ 195.00 $0.00 $ 0.00 $ 22*0�� <br /> 5250.rpt <br />