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`T��L 1►EALC11_ <br /> �N�'►►tc)�11►' N►EN`► INVOICE <br /> FORWARD INC - 4204 Imvoice Date 03115f201,8 <br /> P6 31001-2265 Invoice lolo 4204 QQpp5p3pp <br /> PASADENA,4CA 82 Ili91110-2265 <br /> (209)466-448Customer o 4-4209-0010317 <br /> REPUBLIC Page f4O Page 1 of 1 <br /> H&ti ENGINEERING CONSTRUCTION <br /> SEWClES Due Date UPON RECEIPT <br /> MARIA JAIMES Current Charges Total Amount Due <br /> 212 INDUSTRIAL DPIVE <br /> STOCKTON, CA 95206 <br /> Please pay total amount due <br /> Billing Questions? Call (209)466-4482 <br /> Thank you for your business! Please be sure to remit payments to our lockbox <br /> address shown on the bottom of the invoice. <br /> Date Code Description Reference Rate Quantity Amount <br /> 3/07 VS SW-TIVBER/TREATED/0LD Y8-1293453 61.45 11.69 TN $718.35 <br /> 3/07 VS Reference: 4457731 <br /> 3/07 VS Vehicle: DCC 3352 ,DCC 40YD <br /> 3/07 VS Contract: 4204122008 <br /> 3/07 VS Generator Name:N&H ENGINEERING <br /> 3/07 �1 ENVIRONMENTAL FEE 1 SC739358 16.25 1.00 $16.25 <br /> 3/07 {1 ($16.25/Ticket )ENVIRONMENTAL FEE 1 <br /> 3/07 11 FUEL RECOVERY FEE SC739359 6.83 1.00 $49.06 <br /> 3/07 11 (5.83% Ticket)FUEL RECOVERY FEE <br /> 3/15 02 SJ Cnty/AB 939 Fee at$2.00/TN on 0.00 $23.38 <br /> 11.69 <br /> 3/15 03 SJ Cnty/ Rd Mitigation Fee at$0.16/TN 0.00 $1.87 <br /> on 11.69 <br /> Material/Fee Summary <br /> {1 ENVIRONMENTAL FEE 1 1.00 $16.25 <br /> 11 FUEL RECOVERY FEE 1.00 $49.06 <br /> 02 SJ Cnty/A8 939 Fee at$2.00/TN 55 1c) 11.69 $23,38 <br /> 03 SJ Cnty/Rd Mitigation Fee at$0.16/TN _ 11.69 $1,87 <br /> VS SW-TIMBER/TREATED/OLD e?n�5 Is 11.69 TN $718.35 <br /> S� <br /> M-AR 2 9 2018 <br /> Current 31-60 Days 61-90 Days Over 90 Days �TotalAmount Due$808.91 $0.00 $0.00 X0.00 $808.91 <br /> -please return this below with our ment. Do not attach check stub. <br />