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r <br /> FORWARD, INC. INVOICE <br /> 1145 West Charter Way Invoice Date 09/15/2017 <br /> St�ocMdon, CA 95206 Invoice No 4204-000049101 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> SERVICES <br /> L2FtSTLDTM9 ,000167 Page No 1 of 2 <br /> Due Date 10/15/2017 <br /> H&H ENGINEERING CONSTRUCTION Cunr�ent Charges Total Amount Dene <br /> MARIA JAIMES _ <br /> 212 INDUSTRIAL DRIVE ;1,36.27 771 <br /> $9,649.71 <br /> STOCKTON,CA 95206 <br /> Please Pay Total Amount Due <br /> Billing Questions?Call 209-4664482 <br /> IMPORTANTI To avoid duplicate payments,Please pay the CURRENT CHARGES on each <br /> invoice.Also,please send the remittance with your paynimtt. Thw*youl <br /> Date Code Descripthm cr) Relerense gale QuaniRy Amount <br /> rl 09/07 VS SW TIMBERITREATEDIOLD Y81259794 58.50 8.33TN 585.00 <br /> n 09/07 VS Reference:4294428 <br /> 09/07 VS Vehicle:DCC 3364,DCC 40YD <br /> 0 <br /> CD <br /> 09/07 VS Contract 4204122008 <br /> 09/07 VS Generator Name: H&H ENGINEERING <br /> z <br /> z 09/07 (1 ENVIRONMENTAL FEE 1 SC689274 16.25 1.00 16.25 <br /> z ( 16.251 Ticket)ENVIRONMENTAL FEE 1 <br /> z 09/07 )1 FUEL RECOVERY FEE SC689275 31.59 1.00 31.59 <br /> z 5.40%/Ticket)FUEL RECOVERY FEE <br /> z 09/12 VS SW-TIMBERnPEATED/OLD Y81259568 58.50 10.00 ! 50500 <br /> Z 09/12 VS Reference:4297824 <br /> 13 09/12 VS Vehicle:DCC 3355 ,DCC 40YDCD <br /> 3515 <br /> 09/12 VS Contract 4204122008 , + <br /> cD 09/12 VS Generator Name: H&H ENGINEERING <br /> 0 <br /> w ACCOUNT STATUS s �F 2 � L f 1 f <br /> V <br /> N1 Cwrept 31-60 Gays 610 Days Over Da�►s Tata!Atnatait Qilt HS." 113. COMM <br /> -- 1= - is — <br /> $7,362.71 1,287.00 0.00 0.� - $a,sas.�� �''� <br /> —�- - 1 J <br /> 0 <br /> a <br /> X,------- � ♦Please return this portion below with your payment.Do not attach check to stub. � y <br />