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I <br /> FORWARD, M. q6v- 7D1145 West Chafter Way INVOICE <br /> .Staoddon, CA 95206 Invoice Date 1111512017 <br /> lino,ce No 4204-000049533 <br /> REPUBLIC Customer No 4-4204-MO317 <br /> slVVICES <br /> nWDm0 (WOU Page No 1 of 2 <br /> .Illy°°IIII.IIII°III°.11'INIlillll°I�III1119°II1°IiIII°iI�°�18 Due Date 12/15/2017 <br /> MARIA JAIMEiElER11+1G COMS7RUCTICDI�I Current Charges Total Amount Due <br /> 212 INDI ISTRIAL DRIVE <br /> STOCKTON, CA 95206 <br /> POease Pay Total Amount Due <br /> Billicng Questions?Cali 209-466-4482 <br /> IMPORTANT!.!To ensure you-r payment is posted to the correct invoice,we need <br /> the torn remittance from your invoice. Thank you. <br /> bale Code Cve6eace mate ---- ---- --- <br /> En I Amount <br /> 11107 VS SW-TIMBiEWREATED/OLD YB 1271252 58.50 9.25TN - 585.00 <br /> 11107 VS Reference:-,4297826 <br /> 4l <br /> 11/07 VS VdWe.OCC 3364,DCC 40YD <br /> 0 <br /> A 11/07 VS Contract:4204122008 <br /> Z 11107 VS Generator Name:H&H ENGINEERING <br /> z 11107 11 ENVIRONMENTAL FEE 1 SC708044 16.25 1.00 16.25 <br /> z ( 16.25/Ticket)ENVIRONMENTAL FEE i <br /> z 11107 )1 FUEL RECOVERY FEE SC708045 34.87 1.00 34.87 <br /> z (5.96%/Ticket)FUEL RECOVERY FEE: <br /> z <br /> z SJ Cnty./AB 939 Fee at 2.00/TN 0.00 9.25 18.50 <br /> z SJ Cnty 1 Rd Mitigation Fee at 0.16/TN <br /> 0.00 9.25 1.48 <br /> --Material Summary - <br /> SW-TiMBER/TREATED/OLD 9.25 <br /> CD <br /> CD <br /> t° ACCOUNT STATUS <br /> >u Current 3(-®0 Da1►s i1 so nays ou er 8e Da1rs Taw Amount arts <br /> 2.os o.00_ o 00 0.00 <br /> WHIST <br /> b J Please return this portion below with your payment.Do not attach check to stub. y y <br />