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FORWARD INC. <br /> INVOICE <br /> Stoddcxa, CA 95206 <br /> 1 toMo145 Charter Way 4 Invoice Dale 08/31/2017 <br /> Invoice No 4204-000048996 <br /> REPUBLIC Cust0amw No 4-4204-0010317 <br /> SERVICES <br /> LaF VJJDTGY waDce9 Page No 1 of 4 <br /> INI'II!"II'1'IIII•'bUli'llllhl'l'll'lI1lI1lII'°IIIIII..11111 Due Dade 09/3012017 <br /> H&HENGINEERING CONSTRUCTION <br /> MARIA.lA1MES Current ChargesTotal Amount Due <br /> 212 INDUSTRIAL DRIVE s6,i157.44 �'j-3 44 —� <br /> STOCKTON,CA 95206 <br /> Please Pay Total Amount Due <br /> Billing Questions?Call 209-466-4482 <br /> IMPORTANT.!!To ensure your payment is fisted to the corPect invoice,we need <br /> the torn remittance from your invoice.Thank way. <br /> Dale Code Descriptililm Reference Rate QuantityCn <br /> Mtour�l <br /> 08117 VS SW-TIMBEWTREATIEWOLU Y8 1254825 58.50 3 44 Pil 585.00 <br /> 4 08117 VS Reference:3034963 <br /> 08/17 VS Vehide.HJELM.l11 <br /> 08/17 VS Contract:4204122008 <br /> m <br /> to 08/17 VS Generator Name: H&H ENGINEERING <br /> z 08/17 {1 ENVIRONMENTAL FEE 1 SC683080 1625 1.00 16.25 <br /> z ( 16.25/Ticket)ENVIRONMENTAL FEE 1 <br /> z 08/17 11 FUEL RECOVERY FEE SC683081 31.59 1.00 31.59 <br /> Z (5.40%/Ticket)FUEL RECOVERY FEE <br /> z 08/17 VS SW-TIMBERITREATED/OLD Y81254843 58.50 8.94TN 585.00 <br /> Z 08117 VS Reference:4281780 <br /> 08/17 VS Vehicle: DCC 3364,DCC 40YD RF,Cra�y11,1�"0 <br /> 08/17 VS Contract: 4204122008 �-- <br /> r:>-. -t+. <br /> N 08/17 VS Generator Name: H&H ENGINEERING t' 13 r <br /> CD <br /> a l-5 SEP 1 1 1017 <br /> Ej <br /> ACCOUNT STATUS <br /> W F�$7734=444 <br /> -j si,j oaks oar se o Tow Among o F8�c6� ENG. CO ` <br /> 0.o0 _1 a.00 0.00 $7,344.44� <br /> W <br /> Ot <br /> J. J.Please return this portion below with your payment.Do not attach check to stub. 4 1 <br />