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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTII Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0045710 <br /> INVOICE <br /> Facility ID FA0024473 <br /> Date Printed 4/16/2018 <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 Amount <br /> Invoice# IN0306356---Date of Invoice: 4/5/2018 11111111111111 h 11111 11111 111 Ell IHI El 11111 11111 11111 1111 111111 11111 1111 IN <br /> Hrs Employee <br /> 2/20/2018 1322 H44-SUBSTANDARD HOUSING-INITIAL CASE PREP 0.50 DUNCAN $ 76.00 <br /> 2/20/2018 1322 P44-SUBSTANDARD HOUSING-POSTING ACTIVITY 0.50 DUNCAN $ 76.00 <br /> 2/21/2018 1322 H54-SUBSTANDARD HOUSING-CASE ACTIVITY Offic 1.00 DUNCAN $ 152.00 <br /> v Total for this Invoice $ 304.00 <br /> (f/ Payment Due Date 5/5/2018 <br /> TOTAL DUE this Billing Period $ 304.00 <br /> �- 70 � <br /> PAYMENT RECEIVED <br /> APR 15 2018 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH 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 />