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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART IT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0043557 <br /> INVOICE <br /> Facility ID FA0023590 <br /> Date Printed 4/11/2017 <br /> US BANK TR RE : US BANK TR <br /> 3217 S DECKER LAKE DR 712 S ANTEROS AVE <br /> SALT LAKE CITY, UT 84119 STOCKTON, CA 95215 <br /> OWNER : US BANK TR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0283355---Date of Invoice: 10/5/2016 VIII VIII VIII VIII VIII VIII VIII IN 111111111111111 IN <br /> Hrs Employee <br /> 8/9/2016 1322 B44-SUBSTANDARD HOUSING-404B POSTING AM 0.50 SANGALANG $ 69.50 <br /> 8/9/2016 1322 BP4-BOARD&SECURE NOTICE-POSTING ACTIVIT 0.30 SANGALANG $ 41.70 <br /> 8/9/2016 1322 H44-SUBSTANDARD HOUSING-INITIAL CASE PREF 1.30 SANGALANG $ 180.70 <br /> 8/9/2016 1322 P44-SUBSTANDARD HOUSING-POSTING ACTIVITY 0.20 SANGALANG $ 27.80 <br /> 8/16/2016 1322 H54-SUBSTANDARD HOUSING-CASE ACTIVITY Off 0.50 SANGALANG $ 69.50 <br /> Total for this Invoice $ 389.20 <br /> PAST DUE <br /> Invoice# IN0291957---Date of Invoice: 4/1112017 11111111 111111 III VIII VIII VIII Viii VIII VIII VIII VIII VIII IIII 111111 VIII IIII IIII <br /> 4/11/2017 1321 Enforcement Activity Charges $ 194.60 <br /> 4/11/2017 1374 Recording Fee-Release Notice of Violation $ 20.00 <br /> Total for this Invoice $ 214.60 <br /> Payment Due Date 5/11/2017 <br /> TOTAL DUE this Billing Period $ 603.80 <br /> i <br /> NOTE: 4fterallviolations have been correctedandall <br /> outstanding enforcement costs have been paid, a release of <br /> "Notice of Violation"zvill6e su6mitted to the San Joaquin <br /> County 1§corder'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&'ter the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt ! t- <br />