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SAN JOAQUIN COUNTY <br /> EN\./iRONMENTAL HEALTH DEPARTrvitNT <br /> HOUSING PROGRAM STATEMENT OF EXPENSE WORKSHEET <br /> Billing Party Site Information <br /> SINGH, AVTAR & KULJIT SINGH, AVTAR & KULJIT <br /> 1543 PALAZZO LN 15833 S AIRPORT WAY <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> Total Costs Summary <br /> Costs Type Amount <br /> Total Staff Time and Activity Charges from below (132 1) <br /> Title Search Actual Costs (1371) <br /> Other Actual Costs <br /> Records Documents Actual Costs (1364) <br /> Notice of Abatement Action/Notice of Violation Recorded Document Actual Costs (1374) <br /> Release of Abatement Ac ion/Release bf Notice of Violation Recorded Document Actual Costs (1374) 22`x <br /> Affordable Housing and Jobs Act (State Fee) (1375) <br /> Demolition Actual Costs from Contractor Invoice (1380) <br /> Securement Actual Costs from Contractor Invoice (1381) <br /> Previously Billed - Unpaid Enforcement Cost - (/- <br /> Total EHD Costs: �->l'79 <br /> Billing Type <br /> ❑ Demand Billing ❑ Final Billing ❑ Progress Billing Quarter: Year: ZO/'�3 <br /> Compilation and Review <br /> Compiled By: Date: Z9) i t <br /> Reviewed By: Date: <br /> Housing Services List for : PRO542560/ FA0024473 - SINGH, AVTAR & KULJIT <br /> Activity Activity <br /> Date PE Service Description Hrs Hrly Rate Charge <br /> 5/29/2018 1322 H04 - Housing Case - Office Activity- N/C 1.00 0.00 0.00 <br /> Total Staff Time and Activity Charges for this Facility (1321) : 456.00 <br /> CN03o72S9 6i��Id g <br /> 06/20/2018 A' 2 <br />