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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMI <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account IDARO027355 i <br /> _.:. .......:.:.., <br /> Facility ID FA0015782 <br /> Date Printed 10/31/20.14 <br /> MENDEZ, JOSE L RE : MENDEZ, JOSE L <br /> 2962 S B ST 2962 S B ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : MENDEZ, JOSE L <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0257116---Date of Invoice: 10/31/2014 11111 11111 V11 11111 11111 11111 11111 11111 1111 111111 11111 1111 IN <br /> 10/31/2014 1321 Enforcement Activity Charges-See Attached $ 50.00 <br /> 10/31/2014 1372 Postage Actual Cost $ 6.48 <br /> Total for this Invoice $ 56.48 <br /> Payment Due Date 11/30/2014 <br /> TOTAL DUE this Billing Period $ �5648 <br /> TVD S72-33Eff <br /> PAYMENT c� <br /> REDENED <br /> NOV' 2 4 2014 G <br /> SAN NVIROMENT <br /> JOAQUIN A COUNTY <br /> HEALTH DEPARTMENT <br /> NOTE: Afteraf(vio/ations have been correctedandall <br /> outstanding enforcement costs have been paid, a release of <br /> "J\rotice of violation"will be submitted to the San Joaquin <br /> County R2 corder's Office, if applica6le. <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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />