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SAN JOAOUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <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 />INVOICE <br />Billing Period: 1/1/2015-3/31/2015 <br />Page 1 <br />Account ID <br />AR0027044 <br />Case # <br />012586'I <br />Facility ID <br />FA0015640 <br />Date Printed <br />4/30/2015 <br />RE: ROBINSON, MAXINE <br />2156SBST <br />Health <br />Date Program Description Hrs Employee Amoun <br />Invoice # IN0266907 --- Date of Invoice : 4/30/2015 <br />3/4/2015 SC54 Office -Case Review, Permit Check <br />3/4/2015 SP54 Office -Phone, Counter Consultation <br />1111111111111111111 IN <br />$65.00 <br />$13.00 <br />Total for this Invoice $78.00 <br />Only this amount is subject to appeal <br />Payment Due Date 5/30/2015 <br />Please make Cheeks 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 $78.00 filing fee, within 30 calendar days of the date the Statement was mailed. <br />Pursuant to San Joaquin County Ordinance Code, Section 8-5401(e), all unpaid costs are processed and <br />placed on the property taxes as a Special Tax Assessment. <br />Note: A Release of Notice of Violation or Release of Lien will be recorded with the San Joaquin County <br />Recorder's Office after all violations are corrected and all costs are paid in full. <br />0 to 30 days 31 to 60 days 61 to 90 days 91 to 120 days > 120 days Account Balance <br />$ 78.00 $ 0.00 $ 117.00 $ 82.98 $ 1,750.96 $ 2,028.94 <br />5250. rpt <br />