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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEP �MENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> QUARTERLY Account ID AR0046851 <br /> STATEMENT OF EXPENSE Program ID PR0543909 <br /> INVOICE <br /> Facility ID FA0024967 <br /> Billing Period : 1/1/2019-3/31/2019 <br /> Date Printed 5/2/2019 <br /> ARAUJO,JAVIER&LETICIA <br /> 23529 EDEN AVE RE: ARAUJO,JAVIER&LETICIA <br /> HAYWARD CA 94545 2941/2943 AMHERST DR <br /> STOCKTON,CA 95209 <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0322275---Date of Invoice: 5/2/2019 I IIIIIII IIIIII III VIII VIII Illll IIIII IIIII VIII VIII VIII VIII IIII IIIIII 1111111111111 <br /> 1/7/2019 SH54 SUBSTANDARD HOUSING-CASE ACTIVITY Office $136.80 <br /> 2/5/2019 SH54 SUBSTANDARD HOUSING-CASE ACTIVITY Office $212.80 <br /> 2/20/2019 SH54 SUBSTANDARD HOUSING-CASE ACTIVITY Office $106.40 <br /> Total for this Invoice $456.00 <br /> Only this amount is subject to appeal <br /> Payment Due Date 6/1/2019 <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 /> $456.00 $0.00 $0.00 $0.00 $0.00 $456.00 <br /> 5250.rpt <br />