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FORWARD INC. �� <br /> INVOICE <br /> toc <br /> West Charter Way <br /> lnvoia a Date 1211 512017 <br /> Stockton,CA 95206 Invoice No 42044-OOM9730 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> SERVICES <br /> L2%TL,D71Y •.ODG0364 Page No 1 of 2 <br /> 'IIUI'hliri'i�Irliillllllllll'�1'IIIIIIIII'!�I"lllll��l""�IIH� Due Date 01/1412018 <br /> H &H ENGINEERING CONSTRUCTION #•�,y� Current Char <br /> MARIA JAIMES CiE9li ges Total Amount Due <br /> 212 INDUSTRIAL DRIVE $714.60 - $1.404.49 <br /> STOCKTON, CA 95206 -- -- - - - <br /> Please Pay Total Amount Due <br /> H&H ENG. WWI Billing Questions?Call 209-466-4482 <br /> IMPORTANT!To avoid du kmte <br /> PI- paymelitts,Please pay the CURRENT CHARGES on each <br /> invoice.Also,please send the iriernittance wih your payment. Thank you <br /> Date Code mon PAId ence Rate Quantity Aloud <br /> 12105 VS SW-TIMBEWREATED/OLD Y81276634 58-50 10.85711 -- - 634.13 <br /> 12?05 VS Reference: 3111811 <br /> g 12105 VS Vehicle: HJELM J15 <br /> D <br /> 12105 VS Contract:4204122008 <br /> Z 12/05 VS Generator Name: H&H ENGINEERING <br /> z 1W1ti5 11 ENVIRONMENTAL FEE 1 SG715840 16.25 1.00 16.25 <br /> z <br /> z ( 16.251 Ticket)ENVIRONMENTAL FEE 1 <br /> z 12/05 )1 FUEL RECOVERY FEE ��C�I� "015841 40.18 1.00 40.18 <br /> z (6.33° 1 Ticket)FUEL RECOVERY FEE <br /> z J Cnty/Rd Mitigation Fee at 0.16/TN SEP <br /> SJ Cnty/AB 939 Fee at 2,00/TN Q ^°^ 0.00 10.85 21.70 <br /> z S <br /> 0.00 10.85 1.74 <br /> --Material Summary �►%111 <br /> SW-TIMBER/TREATED/OLD LNVIRONNIV, <br /> pI:PA1Z"1'NILN 1 10.85 <br /> D <br /> bSIs <br /> V _ <br /> ACCOUNT STATUS <br /> --- ------- -- --- <br /> Current 31410 Days ti1�0 Days Over t10 Days Total Atnourtt Due - <br /> D _--- ---- - -_.- SUG <br /> �74s 3s -- s5s.10 0,00 000 <br /> --------- $1,404 49 <br /> CD - - --- --- __ - —5 <br /> Please J.Please return this portion below with your payment.to not attach check to stub. J. 4 <br /> FORWARD, INC. Invoice Date 12/15/2017 <br /> 1145 West Charter Way invoice No- 4204-000049730 <br /> j� Stockton,CA 95206 Customer No. 4-4204-0010317 <br /> REPUBLJC <br /> sfnirzcts <br /> Current Charges. $714.60 <br /> Total Amount Due: $1,404.49 <br /> Please check if address has changed,and indicate change(s)on reverse side or call phone number above. Amount Paid: <br /> Please write your account ntanber on your check and macre payable to: <br /> H& H ENGINEERING CONSTRUCTION <br /> '1°�Illll�l�lllnlh���hrhlselrp�olelh�hllhi�lllhlllll�llli MARIA JAI MES <br /> FORWARD, INC. 212 INDUSTRIAL DRIVE <br /> Please Return PO BOX 31001-2265 STOCKTON, CA 95206 <br /> Payment TO: PASADENA, CA 91110-2265 <br /> 442040010317000000004197300DO0714600001404495 <br />