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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART JT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0042950 <br /> INVOICE <br /> Facility ID FA0023329 <br /> Date Printed 12/12/2016 <br /> TUCKER,JIMMY A SR RE : TUCKER,JIMMY A SR <br /> 4321 E GUERNSEY AVE 5533 E ARDELLE AVE <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : TUCKER,JIMMY A SR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0285563---Date of Invoice: 12/12/2016 1111 111111 11111 1111 IN <br /> 12/12/2016 1374 Recording Fee-Release Notice of Violation $ 20.00 <br /> Total for this Invoice $ 20.00 <br /> Payment Due Date 1/11/2017 <br /> TOTAL DUE this Billing Periodl $ 20.00 <br /> NOTE: Aferadviolations have been correctedandall <br /> outstanding enforcement costs have been paid, a release of <br /> IN of Violation"zvill6e submitted to the San Joaquin <br /> County Recorder's Office, if applicable. <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />