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V <br /> FORWARD, INC. 11° INVOICE <br /> 1145 West Charter Way invoice Date 0811512017 <br /> Stodctort,CA 95206 Invoice No 4204-000048882 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> SEWIICES <br /> L2:tSTL0Tf43 300184 Page No 1 of 2 <br /> Ii.lil.illnirrieerr'IIIIlII�il�illellllill"il'il°IIIlIl1:a®I'll Due Date 09/14/2017 <br /> _ H&H ENGINEERING CONSTRUCTION Total A <br /> Charge <br /> Curt�nt s Amount Due <br /> MARIA JAIMES _ <br /> 212 INDUSTRIAL DRIVE �a ���v � L_ $1,287.00 <br /> STOCKTON,CA 95206 --� <br /> Please Pay Tota!Amount Due <br /> � •IUiN Questions?Call 209-466-4482 <br /> 1 <br /> IMPORTANTM To ensure your payment is <br /> Post ,we need <br /> the torn remittance from your invoice.Thank you, <br /> Date Code Desg;pfi�i— PAhrence Rafe <br /> Anxwd <br /> ri 08/07 VS SW-TIMBERITREATEDIOLD Y81252737 58.50 7.41 TN 585.00 <br /> 08107 VS Reference:3034969 <br /> 0 <br /> 08/07 VS Vehicle: HJELM J15 <br /> ID <br /> 08/07 VS Contract:4204122008 <br /> z <br /> 08107 VS Generator Name:H&H ENGINEERING <br /> z 08/07 {1 ENVIRONMENTAL FEE 1 SC679702 16.25 1.00 16.25 <br /> Z ( 16.25/Ticket)ENVIRONMENTAL FEE 1 <br /> z 08/07 11 FUEL RECOVERY FEE SC679703 29.72 1.00 29.72 <br /> z (5.08%/Ticket)FUEL RECOVERY FEE <br /> Z 08108 VS SW-TiMBER/TREATED/OLD Y81252997 58.50 4.19TN 585.00 <br /> CD 08/08 VS Reference:3034962 S <br /> 08/08 VS Vehicle: HJELM J15 <br /> 08/08 VS Contract:4204122008 RECEIVED <br /> 08/08 VS Generator Name:H&H ENGINEERING <br /> CD AUG .3 0 2017 AUG 2 � 2a1� <br /> ACCOUNT STATUS <br /> o --CutreM— 318it Daps 6190 Da1rs 6v $*Days Tdil,AplaW One <br /> $1,287.00 _1 - 0.00- — 0.00 - !----0.00— $1,287.00 - I•la $ ENO. ®NST. <br /> J. ♦Please return this portion below with your payment.Do not attach check to stub. 4 <br />