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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTI IT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0046265 <br /> INVOICE <br /> Facility ID FA0024723 mj <br /> Date Printed 6/16/2020 <br /> ROSS, ROBERT& DEBRA RE : ROSS, ROBERT& DEBRA <br /> 8031 HOUSTON RD 18480 E WALNUT ST <br /> LINDEN, CA 95236 CLEMENTS, CA 95227 <br /> OWNER : ROSS, ROBERT& DEBRA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0322252---Date of Invoice: 5/2/2019 1111111 11111 h 11111 1111 11111 11111 111 11111 11E 111 IN 111111 11111 1E�111 <br /> Hrs Employee <br /> 2/14/2019 1322 C54-Office-Case Review,Permit Check 0.30 BENIAMINE $ 45.60 <br /> Total for this Invoice $ 45.60 <br /> FRb5 PAST DUE <br /> Invoice# IN0323199---Date of Invoice: 6/18/2019 111111 1111 H 11111 1�11 11111�IM 11111 11111 11111�11�1 11111 1111 111111 H�l 1E 1111 <br /> 6/18/2019 1321 Enforcement Activity Charges $ 349.60 <br /> Total for this Invoice $ 349.60 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 395.20 <br /> PAYMENT <br /> RECEIVED <br /> JUN 15 2020 <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 />