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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPAR' NT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0043510 <br /> INVOICE <br /> Facility ID FA0023567 <br /> Date Printed 10/27/2016 <br /> ROGAN, ANGELA TR ETAL RE : ROGAN, ANGELA TR ETAL <br /> PO BOX 1521 3650 E ACAMPO RD <br /> LODI, CA 95241 ACAMPO, CA 95220 <br /> OWNER : ROGAN,ANGELA TR ETAL <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0283331 ---Date of Invoice: 10/5/2016 IIII IIIIII VIII IIII IIII <br /> Hrs Employee <br /> 7/22/2016 1322 H44-SUBSTANDARD HOUSING-INITIAL CASE PREF 0.90 DUNCAN $ 117.00 <br /> 7/22/2016 1322 MH4-MOBILE HOME POSTING-UNSAFE TO OCCUPY 0.30 DUNCAN $ 39.00 <br /> 7/25/2016 1322 H44-SUBSTANDARD HOUSING-INITIAL CASE PREF 0.50 DUNCAN $ 65.00 <br /> Total for this Invoice $ 221.00 <br /> Payment Due Date� e( 11/4/2016 <br /> .!.4V 3/lam <br /> Invoice# IN0283863---Date of Invoice: 10/27/2016 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 10/27/2016 1374 Recording Fee-Release Notice of Violation $ 20.00 <br /> Total forthis Invoice $ 20.00 <br /> Payment Due Date 11/26/2016 <br /> TOTAL DUE this Billing Period $ 241.00 <br /> NOTE: Afterallviolations fiave been corrected andall <br /> outstanding enforcement costs fiave been paid, a release of <br /> "Notice 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 />