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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPART% T Page 1 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Phone: (209) 468-3420 Account ID AR0037396 INVOICE Facility ID FA0020821 Date Printed 6/27/2018 TAPIA, ELI JR RE : TAPIA, ELI JR 4602 GREENOAK LN 3025 E ANITA ST STOCKTON, CA 95212 STOCKTON, CA 95205 OWNER : TAPIA, ELI JR Date Health Program Description Amount Invoice# IN0304838---Date of Invoice: 1/30/2018 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 111111111 IIII Hrs Employee 12/14/2017 1322 F54-SUBSTANDARD HOUSING-FIELD ACTIVITY 0.70 SANGALANG $ 106.40 12/19/2017 1322 H44-SUBSTANDARD HOUSING-INITIAL CASE PREP 2.00 SANGALANG $ 304.00 Total for this Invoice $ 410.40 PAST DUE Invoice# IN0306308---Date of Invoice: 4/5/2018 I IIIIIII IIIIII III VIII VIII 1111111111 VIII VIII VIII VIII IIII IIIIII VIII 1111111 Hrs Employee 2/21/2018 1322 P54-Office-Phone,Counter Consultation 0.40 HOANG $ 60.80 Total for this Invoice $ 60.80 Payment Due Date 5/5/2018 Invoice# IN0309259---Date of Invoice: 6/27/2018 IIIIIII IIIIII III VIII VIII VIII(IIII VIII VIII(IIII VIII VIII IIII IIIIII VIII IIII IIII 6/27/2018 1321 Enforcement Activity Charges $ 167.20 6/27/2018 1374 Recording Fee-Release Notice of Violation $ 22.00 Total for this Invoice $ 189.20 Payment Due Date 7/27/2018 TOTAL DUE this Billing Period $ 660.40 NOTE: Afterall-violations have been correctedandall outstanding enforcement costs fiave been paid, a release of `5%rotice of Violation"'tvill de submitted to tie San Joaquin County Recorder's office, if applicable. Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES 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% 30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter