Laserfiche WebLink
3y , <br /> 1y <br /> N <br /> H <br /> ya <br /> ty <br /> b <br /> W <br /> ft <br /> ya <br /> Y � <br /> oil <br /> ri <br /> FORWARD, INC, INVOICE <br /> 114.5 West Charter Way Invoice Date 09►rM2017 <br /> Stockton,CA 95206 invoice No 420440000049204 <br /> REPUBLIC Customer No 44204-0010317 <br /> SERVICES <br /> L214ST:LDTID 000112 Page No 1 of 2 <br /> d"1�"11'1��111"111'll'dir�ullri�'r��erlllrli,llf f ldylrr� Due Date 1013012017 <br /> H &H ENGINEERING CONSTRUCTION Current Charges Total Amount Due <br /> � MARIA JAIMES <br /> 212 INDUSTRIAL_DRIVE $"2.96 <br /> STOCKTON,CA 95206 <br /> Please Pay Total Amount Due <br /> Billing Questions?Call 2094664482 <br /> IMPORTANTIII To ensure your payment is posted to the correct 6nvoice,we need <br /> the torn remittance from your invoice.Thank you. <br /> Date Code DescrWon - Reference Hate QuWay - Amount <br /> In <br /> 49128 VS SW-TIMBER M EATED/®LD Y8 1262930 :8.50 10.Gb TN 589.68 <br /> n 09128 VS Reference:4297825 <br /> CD 09128 VS Vdvde:DCC 3356 .DCC 44Y[� <br /> 09/28 VS Contract 4204122008 <br /> Z 09128 VS Generator dame:H&H ENGINEERING <br /> z 09128 11 ENVIRONMENTAL FEE 1 SC695472 16.25 1,00 16.25 <br /> z ( 16.251 Ticket)ENVIRONMENTAL FEE 1 <br /> z 09128 11 FUEL RECOVERY FEE SC695473 35.26 1.00 35.26 <br /> z (5.98%1 Ticket)FUEL RECOVERY FEE <br /> Z SJ Cnty I AB 939 Fee at 2.001TN 0.00 10.08 20.16 <br /> z SJ Cnty I Rd Mitigation Fee at 0.16ITN �f",ru F-RD0.00 10.08 1.61 <br /> --Material Summary - <br /> SW-TIMBERITREATED/OLD " ' 10.08 <br /> CD JIM841 ENG. <br /> CD <br /> ro <br /> 4 ACCOUNT STATUS _ 2� <br /> cunenl 31.10 Days ei"Days` over99 Days TOW Amlm <br /> ot Doe Q . <br /> -- —_y-- ---- J��G' <br /> $681.23 0.00 0.00 - _0.00 $681.23 <br /> y 4 4 Please return this portion below with your payment.Do not attach check to stub. y 1 <br />