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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPA. _TIENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON. CA 95205 <br /> Phone: (209)468-3420 <br /> QUARTERLY AccountlD AR0045408 <br /> STATEMENT OF EXPENSE Program ID PR0542409 <br /> INVOICE <br /> Billing Period : 1/112018-3/31/2018 Facility ID FA0024368 <br /> Date Printed 4/5/2018 <br /> BOUN,BODAVY K <br /> 3067 MARSTON WAY RE: BOUN,BODAVY K <br /> SAN JOSE CA 95148 19541956 N AUTO AVE <br /> STOCKTON,CA 95205 <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0306338---Date of Invoice: 4/5/2018 11111 11111 11111 11111 11111 IN 111111 11111 IN IN <br /> 1/11/2018 SH54 SUBSTANDARD HOUSING-CASE ACTIVITY Office $76.00 <br /> 3/15/2018 SF54 SUBSTANDARD HOUSING-FIELD ACTIVITY $106.40 <br /> Total for this Invoice $182.40 <br /> Only this amount is subject to appeal` <br /> Payment Due Date 5/5/2018 <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 /> $ 182.40 $0.00 $0.00 $0.00 $0.00 $ 182.40 <br /> 5250.rpt <br />