Laserfiche WebLink
FORWARD INC. 1° INVOICE <br /> 1145 West Charter Way <br /> Stockton,CA 95206 Invoice Date 106136 2018 <br /> Invoice No 4204-000051003 <br /> REPUBLIC Customer Ne 4-4204-0010317 <br /> SERVACES <br /> L2R51f MT1-KA aN 1 D9 Page No 142 <br /> �11'I,��II111t�.l . III.II.l1�l .�IIII.�I,IIIIIIIIre�a��Ilu••rt Due Date 07W2018 <br /> H 8 H ENGINEERING CONSTRUCTION Current Charges Total Amount Due <br /> MARIA JAIMES <br /> 212 INDUSTRIAL DRIVE <br /> STOCKTON, CA 95206 <br /> Please Pay Total Amount Due <br /> Billing Questions?Call 209-466-4492 <br /> IMPORTAIM11 To ensure your payment is posted to the correct invoice,we need <br /> the torn mrnitfance from your invoice.Thank you. <br /> m 9628 VS SW-TIMBERR-REATEDK)tD Y81315523 61.45 6.55TN 614.50 <br /> 1 O6/28 VS Reference-4457732 <br /> 0 <br /> 06128 VS Vehicle: DCC 3354 ,DCC 40YD <br /> 06/28 VS Contract:42041220M <br /> CD <br /> 06128 VS Generator Name:H &H ENGINEERING <br /> z z 06128 11 ENVIRONMENTAL FEE 1 SCT70735 16.25 1.00 16.25 <br /> z <br /> z ( 16.25/Ticket)ENVIRONMENTAL FEE 1 <br /> z 06128 )1 FUEL RECOVERY FEE SC770736 45.53 1.00 45.53 <br /> z (7.41%/Ticket)FUEL RECOVERY FEE <br /> z SJ Cnty/AB 939 Fee at 2.00/TN �'��� 0.00 6.55 13.10 <br /> z <br /> z SJ Cnty/Rd Mitigation Fee at 0.16/TN 0.00 6.55 1.05 <br /> z <br /> SJ Cnty/Env Health Fee at 0.09/TN JUL 0 9 2019 0.00 6.55 0.59 <br /> --Material Summary---- <br /> 0 <br /> SW-TIMBER/TREATED/OLD H&H ENG. CONST. 6.55 <br /> 3�15 <br /> N ACCOUNT STATUS <br /> — — --- ---- -- — ----- <br /> Current 31�0 Days 61:19 Days Over 90 DaysTj <br /> otal Amowd Due <br /> N --- �- _ -- — <br /> O <br /> m $691.02 0.00 0.00 0 00 $691.02 <br /> all <br /> O <br /> y 4 y Please return this portion below with your payment.Do not attach check to stub, <br /> `+t---------------- ----------------_____— - -------------------------- ------- <br /> -------------------------------------------------------mac <br /> FORWARD, INC. Invoice Date 06/30/2018 <br /> 1145 West Charter Way Invoice No. 4204-000051003 <br /> Stockton,CA 95206 Customer No- 4-4204-0010317 <br /> REPUBLIC <br /> SERMEEs <br /> Current Charges $691.02 <br /> Total Amount Due: $691.02 <br /> Please check it address has changed,and indicate changes)on reverse side or call phone number above. Amount Paid- <br /> Please write your accourM number on your check and make payable to: <br /> 11111�1.�nri.11li�!• III'III '11"'1ill�'�I'�"0'�I�II�I'1.11l�i MAR A AINE RING CONSTRUCTION <br /> FORWARD, INC. IMES <br /> 212 INDUSTRIAL DRIVE <br /> Please Return PO BOX 31001-2265 STOCKTON, CA 95206 <br /> Payment To: PASADENA, CA 91110-2265 <br /> 4 4 204 GDlD3l7DDDODgU!95lUO3D0006 919201)0(1691022 <br />