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SAN JOAQUIN COUNTY Page 1 ENVIRONMENTAL HEALTH DEPARTP T 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Phone: (209)468-3420 Account ID AR0033877 INVOICE Facility ID FA0019036 Date Printed 10/18/2018 ARCHUNDIA, JOAQUIN RE : ARCHUNDIA,JOAQUIN B 3052 E MUNFORD AVE 3052 E MUNFORD AVE STOCKTON, CA 95205 STOCKTON, CA 95205 OWNER : ARCHUNDIA, JOAQUIN B Date Health Program Description Amount Invoice# IN0310116---Date of Invoice: 8/8/2018 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII Hrs Employee 5/9/2018 1322 971 -OT POSTNG ACTIVITY(Call-Back) 3.50 ALANIZ $ 798.00 5/14/2018 1322 H44-SUBSTANDARD HOUSING-INITIAL CASE PREP 1.10 ALANIZ $ 167.20 5/14/2018 1322 H54-SUBSTANDARD HOUSING-CASE ACTIVITY Offic 0.30 BENIAMINE $ 45.60 5/15/2018 1322 H44-SUBSTANDARD HOUSING-INITIAL CASE PREP 0.10 ALANIZ $ 15.20 9/6/2018 9999 PAYMENT ($ 86.00) 10/3/2018 9999 PAYMENT ($ 86.00) Total forthis Invoice $ 854.00 Payment Due Date 9/9/2018 Invoice# IN0315724---Date of Invoice: 10/18/2018 I IIIIIII IIIIII III VIII VIII(IIII VIII(IIII(IIII VIII VIII IIII IIIIII VIII IIII IIII 10/18/2018 1374 Recording Fee-Release Notice of Violation $ 22.00 Total for this Invoice $ 22.00 Payment Due Date 11/17/2018 TOTAL DUE this Billing Period $ 876.00 NOTE: After all violations have been correctedandatt outstanding enforcement costs have been paid, a release of ",Notice of Viotation"wilt be submitted to the San Joaquin County Recorder's Office, if applicable. Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES 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% 30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254.rpt