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r' <br /> R <br /> FORWARD, M. INVOICE <br /> S`ock`c _ CA 95226 tulvoice Date 01131)MB <br /> lInvoiice No 42 4-OOOOWO15 <br /> REPUBUIC Customer No "2N-0010317 <br /> SERVICES <br /> iILMSTUDlrie t MMi4 Page No t of 2 <br /> Itatoteot�u��tool�Il�Bo�tlterpettgt�tsi{lllllllltpltir��trpttt Dewe Date 03/0212018 <br /> -t & tit ENGINEERING COIa{Smucir ON Current Charges Total Amount Cue <br /> MARIA JAIMES _ <br /> 2112 INDUSTRIAL DRIVE <br /> STOCKTON, CA 95206 <br /> EOease Ray Totat Aernount Due <br /> Bitting Questions?C41t 209-4,56-4482 <br /> 01 PORTANT91u To ensure your payment is posted to the correct invoice, we need <br /> the torso remiJffance from your invoice.Thank you. <br /> Code tBpLon RelrtePePQCe Rate <br /> 01'30 VS SVV-TIMBERITREATED/OLD Y8 1287'v04 61,45 16.79TN 1,031.75 <br /> m <br /> 01130 VS Reference: 4457760 <br /> 01130 VS Vehicle: HJELM 911 <br /> a <br /> 01130 VS Contract:4204122008 <br /> Z 01/30 VS Generator Name: H&H ENGINEERING <br /> Z 01130 {1 ENVIRONMENTAL FEE 1 SC730044 16.25 1.00 16.25 <br /> z ( 16.25/Ticket).ENVIRONMENTAL FEE 1 <br /> z 01130 11 FUEL RECOVERY FEE SC730045 68.61 1.00 68.61 <br /> z (6.65%1 Ticket)FUEL RECOVERY FEE <br /> z SJ Cnty/AB 939 Fee at 2.001TN rJ :, as _, 0.00 16.79 33.58 <br /> z SJ Cnty/Rd Mitigation Fee at 0.16ITN `° L�IVla� 0.00 16.79 2.69 <br /> 0 <br /> - Material Summary - <br /> 0 <br /> SW-TIMBER/TREATED/OLD FEB 0 8 2018 16.79 ��� <br /> 0 <br /> o r1 <br /> 11CCOlNNT STATUS /�y�� <br /> o 31 Bd Dans 61-011111 s_---. Oven 80 Dans at <br /> Aflll a Dot <br /> N s1,lsa.ee o.00 o.ou 0 00 - st,tszas -' SEE �fl � <br /> - -- �— --� <br /> S 1,Please refurn this portion below with your payment.Do not attach check to stub. <br /> ` - _ - __- ...............yam,,. f,.,.,­'. vv ,vt dudcrl crieCK to sruo. <br /> --------------------------------- --_ <br /> FORWARD, INC, Invoice Date 0113112018 <br /> 1145 West Charter'1vay Invoice No. 4204-000050015 <br /> ia Stockton CA 95206 Customer No 4A204-0010317 <br /> REPUG L Ac <br /> Current Charges. $1,152.88 <br /> Total At wont Due: $1,152.88 <br /> Please check i(address has changed,and indicate change(s)on reverse side or call phone number above Amount Paid- <br /> Please write your account number on your check and make payable to: <br /> 1 1 1 .. • rill 1 ,1►. . 1 , t{ { 1 r H & H ENGINEERING CONSTRUCTION <br /> MARIA JAIMES <br /> FORWARD, INC 212 INDUSTRIAL DRIVE <br /> Please Return PO BOX 31001-2265 STOCKTON, CA 95206 <br /> Payment To: PASADENA, CA 91110-2265 <br /> 4 X120 4OG103170 I000DO05Q01<5000b15288ODDII52.588 <br />