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FORWARD INC. �� <br /> INVOICE <br /> 1145 West Chader Way Invoice Date 02/15/2018 <br /> Stoddon" CA 95206 Invoice No 4204-000050111 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> SERWES <br /> L2RST LIDT-Z DD043B Page No 1 of 2 <br /> IIII°°111111111911h11"II'IL.lulll.lul'll'111111411111Pr111 Due Date 0311 7/20 1 8 <br /> H 8 H ENGINEERING CONSTRUCTION Current Charges Total Amount Due <br /> MARIA JAIMES <br /> 212 INDUSTRIAL DRIVE r $745.34 ) =1,898.22 _� <br /> STOCKTON,CA 95206 <br /> Please Pay Total Amount Due <br /> Billing Questions?Call 209-46"482 <br /> IMPORTANTQH!To ensure your payment is posted to the correct invoke,Moe now <br /> the tom reou Hance from your invoice.Thank you. <br /> Dale Code Dion - Relereoe Rate Quantity Amount <br /> En <br /> 02102 VS SW-TIMBEWREATIEWLD Y812BT739 61.45 10 77 TN 661.82 <br /> 02/02 VS Reference:4297820 <br /> CD 02102 VS Vehicle: DCC 3352 ,DCC 40YDCD <br /> j15 <br /> 02/02 VS Contract:4204122008 FEB Z 7 20 <br /> co <br /> 02/02 VS Generator Name: H&H ENGINEERING <br /> z 02102 (1 ENVIRONMENTAL FEE 1 S 0 SC7 82 16.25 1.00 16.25 <br /> z <br /> z <br /> z ( 16.251 Ticket)ENVIRONMENTAL FEE 1 <br /> z 02102 11 FUEL RECOVERY FEE SC730983 44.01 1.00 44.01 <br /> z (6.65%/Ticket)FUEL RECOVERY FEE <br /> z SJ Cnty/AB 939 Fee at 2.001TN h��.=,_, :�_, 'G 0.00 10.77 21.54 <br /> z SJ Cnty/Rd Mitigation Fee at 0.16ITN 0.00 10.77 1.72 <br /> -----Material Summary--- FFB 2 3 2018 <br /> SW-TIMBER/TREATED/OLD 10.77 <br /> 0 <br /> O <br /> (DO ACCOUNT STATUS <br /> N Current 31-ii Days 1 614-40 Days Over 80 Dayolat AtrtottM Dw <br /> rn $1,89822 0.00 0.00 0.00 $1,898.22 <br /> co <br /> ♦ ♦Please return this portion below with your payment.Do not attach check to stub. <br />