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SAN JOAOUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPA _✓LENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />ROBINSON, MAXINE <br />1019 32ND ST <br />OAKLAND CA 94608 <br />QUARTERLY <br />STATEMENT OF EXPENSE <br />Billing Period : 10/1/2014-12/31/2014 <br />Page 1 <br />Account ID�AR002 0 i <br />Case # F 2586 <br />Facility ID FA0015640��i <br />Date Printed 2/6/2015 (� <br />— --_. _. <br />RE: ROBINSON, MAXINE <br />2156 S B ST <br />Health <br />Date Program Description Hrs Employee Amount <br />Invoice # IN0263539 --- Date of Invoice : 2/5/2015 <br />12/12/2014 SC54 Office -Case Review, Permit Check <br />10/2/2014 SC54 Office -Case Review, Permit Check <br />10/28/2014 SC54 Office -Case Review, Permit Check <br />IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 11111 1111 IIII <br />$39.00 <br />$65.00 <br />$13.00 <br />Total for this Invoice $117.00 <br />Only this amount is subject to appeal* <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 $78.00 filing fee, within 30 calendar days of the date the Statement was mailed. <br />Pursuant to San Joaquin County Ordinance Code, Section 8-5401(e), all unpaid costs are processed and <br />placed on the property taxes as a Special Tax Assessment. <br />Note: A Release of Notice of Violation or Release of Lien will be recorded with the San Joaquin County <br />Recorder's Office aftter all violations are corrected and all costs are paid in full. <br />0 to 30 days <br />31 to 60 days61 <br />to 90 days <br />91 to 120 days <br />> 120 days <br />Account Balance <br />$ 199.98 <br />$ 0.00 <br />$ 0.00 <br />$ 100.46 <br />$ 1,650.50 <br />$ 1,950.94 <br />5250. rpt <br />