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c _ <br /> ACV <br /> FORWARD, INC. SSPJA e� INVOICE <br /> 1145 West Charter!Illay <br /> Stoddon,CA 95206 tAZON. It Invoice Date (i8/1S/2018 <br /> v, Invoice No 4204 1274 <br /> ° UBLIC Customer No 4-4264-M(D317 <br /> SERWICES <br /> L2RSTLDT-AD 000422 Page No 1 Of 2 <br /> I++�++yl+h�+.lil�.�+ylp�l'111'1111�9�'ll�ll'p�1�1811'll'�� Due Date 09/1412018 <br /> H 8R FI ENGINEERING CONSTRUCTION rg <br /> Current Charges total Amount Due <br /> MARIA JAIMES _ <br /> 212 INDUSTRIAL DRIVE -$714.22 <br /> STOCKTON,CA 9520E — <br /> Please Pay Total Amount Due <br /> AUG 2 3 2^'9 Billing Questions?Call 209-466-4492 <br /> IMPORTANT111 To ensure your payment is E : '` r teed <br /> the torn remittance from your kr4oi©e.Thar <br /> Date Code DesaIlim Reference Rale Qumh! Amount <br /> 08/15 VS SW-TIMBOWFIEATEU/OLD Y81324589 61.45 10.24TN 829.25 <br /> D 08/15 VS Reference:4857656 <br /> 0 <br /> 08/15 VS Vehicle:DCC 3364,DCC 40YD <br /> N 08/15 VS Contract 4204122008 <br /> ti 08/15 VS Generator Name: H&H ENGINEERING <br /> Z08!15 {1 ENVIRONMENTAL FEE 1 <br /> z SC784272 1fi.25 1.00 16.25 <br /> z ( 16.25/Ticket)ENVIRONMENTAL FEE 1 <br /> z 08/15 }1 FUEL RECOVERY FEE SC784273 45.68 1.00 45.68 <br /> z (7.26%/Ticket)FUEL RECOVERY FEE ,��i5 <br /> Z SJ Cnty!AB 939 Fee at 2.00lTN �`� 0.00 10.24 20.48 <br /> z SJ Cnty 1 Rd Mitigation Fee at 0.16fFN .�-- �rl� 0 00 10.24 1.64 <br /> SJ Cnty/Env Health Fee at 0.09fTN —� 0.00 10.24 0.92 <br /> ---Material Summary y <br /> SW-TIMBER/TREATED/OLD ab 5 10.24 <br /> CD <br /> CD <br /> ACCOUNT STATUS <br /> Ctwrent 31-Bi �� 3 2�fi <br /> W D <br /> \, aiys 6 t--e0 Des leer WS Total Am�mt DM-- - - <br /> co $1,398.91 -1 _- -0.00 - -- 0.00 0.00 $1,398.91 <br /> N __- __- -_- d <br /> CDN <br /> d Please return this portion below with yotu payment.Do not attach check to stub. 4- <br /> y <br />