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SAN JOAQUIN COUNTY y <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTNI. i <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE <br /> tID AR0027355 7, <br /> Facility ID <br /> FA0015782 ' <br /> r as : <br /> Date Printed 10/6/2014 <br /> m 10/ / i <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 Amount <br /> Program Description <br /> Invoice# IN0256557---Date of Invoice: 10/6/2014 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 10/6/2014 1321 Enforcement Activity Charges-See Attached $ 25.00 <br /> 10/6/2014 1372 Postage Actual Cost $ 6.48 <br /> Totalforthislnvoice $ 31.48 <br /> Payment Due Date 1115/2014 <br /> TOTAL DUE this Billing Period $ 31.48 <br /> p0o', elD <br /> av"�w P1. <br /> SPN NDN pot <br /> NEP <br /> NOTE: Afterallziolations have 6een correctedandall <br /> outstanding enforcement costs have 6een paid, a release of <br /> 'Notice of violation'will6e submitted to the San joaquin <br /> County Recorder's Office, if appfica6le. <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 />