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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTI T Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0027355 <br /> Facility ID FA0015782 <br /> Date Printed 10/31/2014 <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 <br /> Amount <br /> Invoice# IN0257116---Date of Invoice: 10/31/2014 11II11I1111III III VIII1II11IIIII VIII VIII VIII VIII VIII1111111111 VIII�111IN <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 $ 56.48 <br /> NOTE: 4fterafviofations Have been correctedandall <br /> outstanding enforcement costs(ave been paid, a release of <br /> `:Notice of Violation"willbe submitted to the San,7oaquin <br /> County Wc.corder's Office, if applicable. <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 />