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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM' Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> COPY Account ID AR0045710 <br /> INVOIC <br /> Facility ID FA0024473 <br /> Date Printed 7/26/2018 <br /> SINGH, AVTAR& KULJIT RE : SINGH, AVTAR& KULJIT <br /> 1543 PALAZZO LN 15833 S AIRPORT WAY <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> OWNER : SINGH, AVTAR& KULJIT <br /> Date Health <br /> Program Description Amuuni <br /> Invoice# IN0309258---Date of Invoice: 6/27/2018 I IIIIIII IIIIII III VIII IIIII IIIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 6/27/2018 1321 Enforcement Activity Charges S 456.00 <br /> 6/27/2018 1374 Recording Fee-Release Notice of Violation $ 22.00 <br /> 7/24/2018 9999 PAYMENT ($ 456.00) <br /> 5 L4 2�vO Total for this Invoice $ 22.00 <br /> 1 Payment Due Date 7/27/2018 <br /> TOTAL DUE this Billing Period $ 22.00 <br /> PAYMENT <br /> RECEIVED <br /> AUG 0 8 201a <br /> ;AN JOAOUIN CNTOUNTY <br /> ENVIRONMEAL <br /> HFALTH DEPARTMENT <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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />