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FORWARD, INC. � � INVOICE <br /> 1145 West Chader'Way � <br /> StooPdon,CA 95206 Invoice Date W130/2018 <br /> Invoice No 42044000051545 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> SERWCES <br /> L2R.ST CIAO ,DIXM79 Page No 1 Of 2 <br /> illl'II'I'IIIIl1lul,,,II.III„In114N11llIIll'il'6N111�'li�i Dare Date 10/30/2018 <br /> H&H ENGINEERING CONSTRUCTION MARIA JAIMES � en Current Charges Total A © nt Due <br /> h��► au.r - — - --- 2,1ifr5.11 <br /> 21211VIDLISTRIAL DRIVE <br /> STOCKTON, CA 95206 ( <br /> Please Pay Total Amount Due <br /> Billing Questions? Cali 209-466-4492 <br /> �1.1—MAPORTANT2TTo avoid dujAicate p9ayrn< iARGES on each <br /> vmice.Also,please send the remittan A <br /> ---------------- <br /> Dale Code - - --- -- - -- <br /> --- -- _ _ce Race Quantity Amount <br /> 09118 VS SWTIMBERlTREATENCILD - V813311 1331179 6145 10.24 Ti l --- 62925 <br /> a 09118 VS Reference.- 4857657 <br /> 09/18 VS Vehicle: BCC 3364,DCC 40`fD <br /> 09/18 VS Contract 42D41220081° <br /> ° 09/18 VS Generator Blame: H&H ENGINEERING #j J <br /> z 09118 11 !ENVIRONMENTAL FEE 1 <br /> z , SC79368D 1625 1.00 15.25 <br /> z 16.25/Ticket)EWIROMMENTAL.FEE 1 IS <br /> z 09/18 11 FUEL RECOVERY FEE ` SC793681 46..06 1.00 46.D6 <br /> z <br /> z (7.32%/Ticket)FUEL RECOVERY FEE <br /> z z 09/26 VS SITU TIMBEWTREATENOLD QI Y81332974 61.45 8 24 TI l 61450 <br /> z 09/26 VS Reference.- 445T744 <br /> 09/26 VS Vehicle: DCC 3357 ,DCC 40YD <br /> 09/26 VS Contract 4204122DD8 RECEIVED <br /> 0 <br /> 09/26 VS Generator Name: H&H ENGINEERING <br /> ACCOUNT STATUS <br /> OCT 0 g 7fl1 <br /> c""e"t_ - 3 MIRY M ►s 614 nays—�`o�so Days i TOW ore !°$&H ENG. C O N ST. <br /> $1,408.87 69624 ,0.00 0.00 j $2,105A1 <br /> co <br /> to <br /> m <br /> u 1 4, Please return this por4ion below with your payment.Do not attach check fo stub. <br /> ------------------------------------------------------------------ <br /> FORWARD, INC. Invoice Date 09/30/2018 <br /> 1145 West Charter Way invoice No. 4204-000051545 <br /> Stockton,CA 95206 Customer No 4-4204-0010317 <br /> REPUBLIC' <br /> SERVICES <br /> Current Charges $1,408 87 <br /> Total Amount Due: $2,105 11 <br /> Please check if address has changed,and indicate change(s)on reverse side or call phone number above Amount Paid <br /> Please write your account number on your cheek and make payable to: <br /> H& H ENGINEERING CONSTRUCTION <br /> I"F°'ll!!I!'I11611s1lIIIlIIH'!' llil!'llll�ll�l'lllll!'lllll,lll MARIA JAIMES <br /> FORWARD, INC. 212 INDUSTRIAL DRIVE <br /> Please Return. PO BOX 31001-2265 STOCKTON, CA 95206 <br /> Payment To: PASADENA, CA 91110-2265 <br /> 442G4001031700DOUGE10SIS450D01468870002105 1i <br />