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FORWARD INC. �� <br /> INVOICE <br /> 1145 West Charter Way <br /> StOCkton,CA 95206 Invoice Date 12/31/2018 <br /> Invoice No 4204-000052100 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> SERVICES <br /> L2RSTL©TE3C MM76 Page No 1 of 2 <br /> "III'rl!'rIIII'itll'IIIlllli!'ll!'illrilliilllllllillilll'1'lllll Due Date 0113012019 <br /> H&H ENGINEERING CONSTRUCTION Current <br /> MARIA JAIMES Charges Total Amount Daae <br /> 212 INDUSTRIAL DRIVE $790.03 i <br /> STOCKTON, CA 95206 <br /> Please Pay Total Amount Due <br /> Billing Questions?Call 209-466-4492 <br /> IMPORTANT!It To ensure your payment is Posted to the correct invoice,,we need <br /> the torn remittance Unum your invoice.Thank you. <br /> Dak ,Ode 0esaiPtiorr Reference Rale Quantity Aarowrl <br /> 12/24 1/S SW-TIMBEWTREATED/OLD Y81352735 61.45 11.34TN 696,84 <br /> m <br /> 12/24 VS Reference:4857660 <br /> 12/24 VS Vehicle: DCC 3354 0 <br /> ,DCC 40YD <br /> CD 12/24 VS Contract:4204122008 <br /> 12/24 VS Generator Name: H&H ENGINEERING <br /> Z12/24 {1 ENVIRONMENTAL FEE 1 <br /> z SC822805 16.25 1.00 16.25 <br /> z -16.25/Ticket ENVIRONMENTAL FEE 1 1 <br /> z 12/24 }1 FUEL RECOVERY FEE SC822806 51.43 1.00 51.43 <br /> z (7.38%/Ticket)FUEL RECOVERY FEE <br /> Z SJ Cnty/AS 939 Fee at 2.00/TN 0.00 11.34 <br /> 22.68 <br /> z SJ Cnty/Rd Mitigation Fee at 0.16/TN 0.00 11.34 1.81 <br /> SJ Cnty/Env Health Fee at 0.09/TN 0.00 11.34 1.02 <br /> Material Summary---- <br /> 0 SW-TIMBER/TREATED/OLD 1134 <br /> 0 <br /> ACCOUNT STATUS <br /> C umet 31 <br /> 90 DAYS c <br /> b0 Qays 6190 D�Is�t Thi A WW Due <br /> 0 <br /> N - -� <br /> $2,284.71 .00 0 00 0.00 <br /> $2,284.71 <br /> OI <br /> y ♦ Please retu►n this ion below with our payment.Do not mach check to stub. 4 <br />