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FORWARD, INC. AW <br /> INVOICE <br /> 1145 West Chader Way �� Invoice Date 04MS/2018 <br /> ct <br /> St om CA 95206 Invoice No 4204-000050486 <br /> REPUBLIC Customer No 4-42041,0317 <br /> SERWCES <br /> L2RSTL'DTFJ& 0-%, aQ- ,Page No 1 of 2 <br /> oil 10 Due Date 05115J2018 <br /> H& H ENGINEERING CONSTRUCTION Current Changes Total Amount Due <br /> MARIA JAIMES <br /> 212 INDUSTRIAL_ DRIVE 1 53,099.7E S 7s1lR.13 <br /> STOCKTON, CA 95206 <br /> Please Pay Total Amount Due <br /> Billing (Questions? Call 2139-486-4492 <br /> IMPORTANT111 To ensure your payment is posted to the correct invoice,we need <br /> the torn remittance from your invoice.Thank you. <br /> Dake Code Descnpaon ---- --- - - - Reference Rate - ---- -- - <br /> - --- -- ----- <br /> - Amount <br /> 1141'35 VS S-W-TRA6ERfTREATED/OLO <br /> (3 125863% ,1 45 1334Tti - 813.74 <br /> 04/05 VS Reference: 4297822 <br /> 04/05 VS Vehicle DCC 3364,DCC 40YD <br /> 04/05 VS Contract 4204122008 <br /> z <br /> 04/05 VS Generator Name. H&H ENGINEERING <br /> z 04/05 {1 ENVIRONMENTAL FEE 1 SC746898 16.25 f.00 16.25 <br /> z <br /> zj 16.251 Ticket)EWRONMENTAL FEE 3 <br /> z <br /> z <br /> z 04/05 11 FUEL RECOVERY FEE SC746899 54.51 100 54.51 <br /> z (6.65%1 Ticket)FUEL RECOVERY FEE <br /> z "1t1 'I" SW TIF.iBEWTRTED/(9LD y - - <br /> z E0 Y81299332 6145 10 76TH 661.20 <br /> z 04110 VS Reference: 4457762 - --- - - ---- - <br /> 04/10 VS Vehicle: HJELM J8 <br /> 04110 VS Contract.4204122008 t2ECEi ® <br /> 04110 VS Generator Name: H&H ENGINEERING <br /> m <br /> APR 2 3 N1 <br /> a ACCOUNT STATUS <br /> W 000 — <br /> Cwrent -^ OuerliD�s TotalMwunttwe H&H ENO. C <br /> X3,788.13 31 � s i1-eB . - --- <br /> � � �S � $378813 <br /> --- <br /> m <br /> y y Please return this portion below with your Payment.Do not attach check to stub. y 1 <br /> X----------------------- ------------------------------------------------------------------------------------------------------------------------< <br /> FORWARD, INC. Invoice Date 04/15/2016 <br /> +�� 1145 West Charter Way Invoice No. 4204-000050486 <br /> Stockton.CA 95206 Customer No. 4-4204-0010317 <br /> REPIJBLIC <br /> Sf Rv7C'-S <br /> Current Charges: $3,099.78 <br /> Total amount Due: $3,78813 <br /> jPlease check if address has changed,and indicate changeis)on re,,erse side or call phone number above. Amount Paid: <br /> Please write your account number on your check and make payable to: <br /> H&H ENGINEERING CONSTRUCTION <br /> I{'1111{'I{I{{I{'{I'ill'1'1111111111111-e1111'1111o9r1III 11111's a MARIA JAIMES <br /> FORWARD, INC 212 INDUSTRIAL DRIVE <br /> Ptease Return PO BOX 31001-2265 STOCKTON, CA 95206 <br /> Payment To: PASADENA, CA 91110-2265 <br /> 442040010317[lDDOBGO0594860003099786993788138 <br />