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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> QUARTERLY A-1 I AR0043557 <br /> STATEMENT OF EXPENSE PtogramID PR0541190 <br /> INVOICE <br /> Facility ID FA0023590 <br /> Billing Period : 10/l/2016-12/3112016 <br /> Date Prided 1/11/2017 <br /> US BANK TR <br /> 3217 S DECKER LAKE DR RE: US BANK TR <br /> SALT LAKE CITY UT 84119 712 S ANTEROS AVE <br /> STOCKTON,CA 95215 <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0286119—Date of Invoice: 1/11/2017 11111111111 1111111I11011111111M 111MMulln111111 <br /> 10/12/2016 SF54 SUBSTANDARD HOUSING-FIELD ACTIVITY S83.40 <br /> 10/12/2016 SH54 SUBSTANDARD HOUSING-CASE ACTIVITY Office $83.40 <br /> 10/13/2016 1371 Trtk Search Expense $150.00 <br /> 11/3/2016 SBHN Posting-BONA Hearing Notice $97.30 <br /> 11/712016 SH54 SUBSTANDARD HOUSING-CASE ACTIVITY Office $208.50 <br /> 11/8/2016 SH54 SUBSTANDARD HOUSING-CASE ACTIVITY Office $166.80 <br /> 1 111 61201 6 S979 BOARD/COMMISSION MTG-CASE HEARING $41.70 <br /> 12/7=16 SBHR Posting-BORA Hearing Resolutionl� $ .40 <br /> VR (D S Li ` v Total for this Invoice $914.50 <br /> Only this amount is subject to appeal' <br /> Payment Due Date 2/10/2017 <br /> Please make Checks PAYABLE to: EFID / Return a Copy of This STATEMENT with Your PAYMENT <br /> PAYMENT S r iN=7 <br /> RECEIVED <br /> JAN 3 0 2017 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> �V) <br /> 'Right to Appeal:You have the right 0j) <br /> to appeal this Quarterly Stat ent o Expense by filing a written appeal, <br /> along with the$78-00 filing fee,within 30 calendar days the date the Statement was mailed. <br /> Pursuant to San Joaquin County Ordinance Code,Sectio 8-5401(e), all unpaid costs are processed and <br /> placed on the property taxes as Special Tax Assessment. <br /> Note:A Release of Notice of Violation or Lien will be recorded with the San Joaquin County <br /> Recorder's Office aft I violatio are c ected and all costs are paid in full. <br /> 0 to 30 days 31 to 60 days 61 to 90 days 91 o 120 days >120 days Accoum Balance <br /> $914.50 $0.00 $389.20 $0.00 $0.00 S 1,303.70 <br /> 5250.rpt <br />