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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTME Page 1 1868 E HAZELTON AVENUE STOCKTON, CA 95205 Phone: (209)468-3420 Account ID AR0033497 INVOICE Facility ID FA0018847 Date Printed 2/15/2018 JONES, GEORGE RE : JONES, GEORGE 29 S ADELBERT AVE 29 S ADELBERT AVE STOCKTON, CA 95215 STOCKTON, CA 95215 OWNER : JONES, GEORGE Date Health Program Description Amount Invoice# IN0304832---Date of Invoice: 1/30/2018 IIIIIII IIIIII III VIII IIIII IIIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII 1111111 Hrs Employee 12/1/2017 1322 H44-SUBSTANDARD HOUSING-INITIAL CASE PREP 1.30 DUNCAN $ 197.60 12/1/2017 1322 P44-SUBSTANDARD HOUSING-POSTING ACTIVITY 0.20 DUNCAN $ 30.40 Total for this Invoice $ 228.00 Payment Due Date 3/1/2018 Invoice# IN0305094---Date of Invoice: 2/15/2018 11111111 IIIIII III IIIII VIII VIII IIIII IIIII VIII IIIII VIII VIII IIII IIIIII VIII IIII IIII 2/15/2018 1321 Enforcement Activity Charges $ 197.60 2/15/2018 1374 Recording Fee-Release Notice of Violation $ 22.00 2/15/2018 1375 AFFORDABLE HOUSING AND JOBS ACT(STATE FEE) $ 75.00 Total for this Invoice $ 294.60 Payment Due Date 3/17/2018 TOTAL DUE this Billing Period $ 522.60 NOTE: Afterall-violations fiave been correctedandall outstanding enforcement costs fiave been paid,a release of 'Notice of Violation"will be submitted to the 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 theredrter 5254.rpt