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f <br /> FORWARD, INC. INVOICE <br /> 1145 West Clhaflei-Way <br /> Stockton, CA .95206 Invoice Date 02-,128/21019 <br /> Invoice No 412Q4-000052381 <br /> REPUBLIC Custorner No 4-4204-001,0317 <br /> SERVICES <br /> II_MTMT Tci ODOM Page No 1 of 2 <br /> r111rrIlrN'll�hl�llul.ql�,�,Illerrlrllllllh'rtrl'lutlrll' Due Date 03/30/2019 <br /> H & 1EENGINEERINGCONSTRUCT�� <br /> MARIA,tAIMES Y.I,C E i V E J) Current Changes Total Amount Due <br /> 2 INDUSTRIAL DRIVE $917.02 $917.02 <br /> OCKTON, CA 952:06 SEP 0 9 2321 <br /> Please Pali Total Amount Due <br /> ENV1120NNIENTAL IIEAE'I'Il <br /> Billing Questions?Call 2{)9-4666-4492 <br /> IMPORTAMTM To ensure your payment is posted to the correct invoice,we need <br /> the torn remittance from your invoice. Thank you. <br /> Dale Code Gescxiption Refen_=ce Rate Quantity Amount <br /> ism VS SYN-TIMBEWTREATEDN)LD - - � Y81362'399— 64519 — 12 -£5TN $15.93 <br /> 02/D6 VS Reference: 4457735 � � <br /> 02/06 VS Vehicle: DCC 3357 ,DCC 40YD <br /> , 02/D6 VS Contract 4204122008 nJ h MAA 132019 <br /> 021% VS Generator Name:H &H ENGINEERING ' <br /> z <br /> 02/D6 �\ <br /> z {1 ENVIRONMENTAL FEE 1 �C836893 16.25 1.D0 16.25 <br /> z -16.251 Ticket ENVIRONMENTAL FEE 1 1 <br /> z 02/06 }1 FUEL RECOVERY FEE SC836894 56.38 1.00 56.38 <br /> z (6.91%/Ticket)FUEL RECOVERY FEE � ,q1 �..r <br /> z � E -' <br /> z SJ Cnty/AB 93.9 Fee at 2.00/TN r <br /> �cz ,., `! - 0.00 12.65 25.30 <br /> 0.00 12.65 2 OZ <br /> z SJ Cnty J Rd Mitigation Fee at 0.16/TN <br /> SJ Cnty/Env Health Fee at 0.09/TN R t 0.00 12.65 1.14 <br /> fl ---- Material SummaryI <br /> c? <br /> SW-TIMBER/TREATED/OLD 12.65 <br /> ACCOUlff STATUS <br /> Currerk 31-60 Days 61-90 Days Over so Days Tota/Amount Due <br /> o $917.02 0.00 -- - - <br /> —------ --- -- $917.02 <br /> PD <br /> 1 y y Please return this portion below with your payment.Do not attach check to stub. J ► <br />