Laserfiche WebLink
FORWARD, INC. <br /> 1145 West Charter WayINVOICE <br /> Stockton,CA 95206 Invoice Date 11/3012017 <br /> REPUBLIC Custice No 44-442204a0011Y33i 7 <br /> SFAS <br /> IL2RSTL,DTT =173 Page No 1 of 2 <br /> rrlr�l.ll�'1'��'11'��'�Irrrrlllrr'.rlrlrl'I'rrir.rlrrlrllrlylrrr Due Date 12130/2017 <br /> H&H ENGINEERING CONSTRUCTION <br /> MARIA JAIMES Current Charges Total Amount Due <br /> 212 INDUSTRIAL DRIVE :657.E3 _ L---- g•gg <br /> STOCKTON,CA 95206 <br /> Please Pay Total Amount Due <br /> 13illiN Questions?Cali 209-466-4482 <br /> IMPMTANTIEP To ensure yaw payment is posted to the correct invouce,we need <br /> Ow torn remittance from your invoice.Thank you. <br /> r — <br /> Dane Cale DesaWm <br /> ---I 11127 VS Vila-!iT BER n;tEATED/0L0 0/ �7/�y�y GO Cn ---- 7 �p�Iyt <br /> O 7 S 12749 9 58.50 9.IJ5 i N- 585.00 <br /> :j 11127 VS Reference:4297818 <br /> 0 <br /> 11127 VS VeN de.- DGC 3364,DCC 40YD <br /> 11/27 VS Contract:4204122008 <br /> Z 11127 VS Generator Name. H&H ENGINEERING <br /> z 11127 {1 ENVIRONMENTAL FEE 1 16.25 <br /> Z SC7i3462 16.25 1.00 <br /> z { 16.251 Ticket)ENVIRONMENTAL FEE 1 <br /> z 11127 )1 FUEL RECOVERY FEE SC713463 37.03 1.00 37.03 <br /> z {6.33%/Ticket)FUEL RECOVERY FEE <br /> z SJ Cnty/AB 939 Fee at 2.00/TN 0.00 9.05 18.10 <br /> SJ Cnty/Rd Mitigation Fee at 0.16VTN /3515 0.00 9.05 1.45 <br /> ---Material Summary- <br /> SW-TI MBERlTREATEDIOLD <br /> ,.9.05, <br /> SI�tD -3L j' <br /> m aACCOUNT STATUS l �5 <br /> Days ii-99 Dois <br /> oN Oe—s•Dys <br /> $689.89 0.00 000 -00 <br /> $689.89 <br /> Please <br /> --1I <br /> .- g r�i_^� .•t q; <br /> _-- _ ---- ♦ ♦Please return this portion below with your payment.Do not attach check to slub. �. d, <br />