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FORWARD, INC. AW <br /> INVOICE <br /> 1445 West Chader Way b04 Invoice Date 04MS/2018 <br /> ct St om CA 95206Invoice No 4204-000050486 <br /> REPUBLIC Customer No 4-4204-001,0317 <br /> SERWCES <br /> L2RSTL'DTFJ& 0-%, aQ- ,Page No 1 of 2 <br /> I,111a18',�1{I{'111{{alell1r11111111�111{I1i1�111aI1111a11�1oil10 Due Date 05115J2018 <br /> H& H ENGINEERING CONSTRUCTION Current Changes Total Amount Due <br /> MAR.IA 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 209-46"492 <br /> IMPORTANT111 To ensure your payment is posted to the correct invoice,we need <br /> the torn remittance from your invoice.Thank you. <br /> Dale Code Descnpaon ---- --- - - - Reference Rate - ---- -- - <br /> - --- -- ----- <br /> - Amount <br /> 1141'f5 VS S-W-TRA6ERfTREATED/OLO (3 1258537 .1 45 1334Tti - 819.74 <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 /> z j 16.251 Ticket)EWRONMENTAL FEE 3 <br /> z <br /> z <br /> z 04105 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 RECENED <br /> 04110 VS Generator Name: H&H ENGINEERING <br /> m APR 2 3 N1 <br /> a ACCOUNT STATUS <br /> W 0 00 — <br /> Cwrent -^ OuerliD�s TotalMwunttwe H&H ENO. C <br /> �3,788.13 31 � s i1-eB . - --- <br /> � � �S � $3 78813 <br /> --- <br /> m <br /> y y Please return this portion below with your Payment.Do not attach check to stub. y 1 <br /> X----------------------- ------------------------------------------------------------- -----------------------------------------------------------f< <br /> FORWARD, INC. Invoice Date 04/15/2018 <br /> +�� 1145 West Charter Way Invoice No. 4204-000050456 <br /> Stockton.CA 95206 Customer No. 4-4204-001 03 1 7 <br /> REPIJBLIC <br /> Sf Rv7C'-S <br /> Current Charges: $3,099.78 <br /> Total amount Due: $3„788 13 <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{'llll{'I{I{{I{'{I'ill'1'111II{1111111-e1111'1111o9r1 III 11111'sa 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 /> 44204001,0317[lDDOBGO0594860003099786993788138 <br />