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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTh T Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> Account ID AR0045710 <br /> INVOICE <br /> Facility ID FA0024473 <br /> Date Printed 6/27/2018 <br /> SINGH, AVTAR & KULJIT RE : SINGH, AVTAR & KULJIT <br /> 1543 PALAZZO LN 15833 S AIRPORT WAY <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> OWNER : SINGH, AVTAR & KULJIT <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0309258---Date of Invoice: 6/27/2018 11111111 EIII E 11111 11111 11111 111 1111 11111 IEI 111 11111 IN 111111 11111 111�IN <br /> 6/27/2018 1321 Enforcement Activity Charges $ 456.00 <br /> 6/27/2018 1374 Recording Fee-Release Notice of Violation $ 22.00 <br /> Total for this Invoice $ 478.00 <br /> Payment Due Date 7/27/2018 <br /> TOTAL DUE this Billing Period $ 478.00 <br /> NOTE: AfteraCfviolations(mve been correctedandall <br /> outstanding enforcement costs fiave been paid, a release of <br /> 'Notice of Violation",wiC<Ge submitted to tfie San Joaquin <br /> County Recorder's Office, if app(ica6Ce. <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES <br /> 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% <br /> 30 Days after the Due Date 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5_'54 rpt <br />