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FORWARD, INC, MARL <br /> 1145 West, Way 'NZ%# I INVOICE <br /> Stockton. CA 952064 tterouce Date07J15/2019 <br /> Invoice No 4204-0"53220 <br /> REPUBLIC Customer No 4-4204-001 03 1 7 <br /> SERVICES <br /> Rage No 1 of 2 <br /> 'Il�t'lltl�°'11°Iliil�dgiliii�°111'11t'1'lll�l�l'�lll'll'I'��'1,. Done Date 08/14/2019 <br /> H &H ENGINEERING CONRTP#1r►TIn�• <br /> MARIA JAIMES Current Chars Total Amount Due <br /> 212 INDUSTRIAL DRi'► ----- 728.93 I 13j 1.02 1 <br /> STOCKTON, CA 952f1E ------ <br /> Please Pay Total Amount Due <br /> Billing Questions? Call 209-466-4492 <br /> IMPORTANPI! To ensure your payrru e,we need — <br /> the torn remittance horn pour invoice <br /> x ld Code ...-- -- - <br /> 07/03 S ►SW IIMLJLVi 1RC/tTCLNVLy - --- - � --- t <br /> Y81396298 64.50 9-93TN <br /> n 07/0.3 VS Reference:5514691rj <br /> 695.'00 <br /> 07/03 V-S Vehicle:DCC 3352 ,DCC 40YD <br /> N 07/03 VS Contract:4204122008 <br /> 'u 07/03 VS Generator Name:H&H ENGINEERING JUL 9 2019 <br /> z <br /> z 07/03 (1 EWIRONMENTAL FEE i z SC884552 16.25 1.00 <br /> -16.25/Ticket ENVIRONMENTAL FEE 1 1 16.25 <br /> z <br /> z <br /> z 07/03 }1 FUEL RECOVERY FEE <br /> z 45.34 <br /> SC884553 45 34 1.00 <br /> z (7.03%/Ticket)FUEL RECOVERY FEE <br /> z <br /> z SJ Cnty/AB 939 Fee at 2.00/TN 3S i5 <br /> 0.00 9.93 1986 <br /> z SJ Cnty/Rol Mitigation Fee at 0.16/TN 0,00 9-93 159 <br /> SJ Cnty/Env Health Fee at 0.09/TN SD�60 >� D 00 g.93 <br /> Material Summary-- D.89 <br /> SW-TIMBER/TREATED/OLD 0"-5 <br /> g 9.93 <br /> 0 <br /> ACCOUW STATM <br /> Current 31-60 '------ --.---- <br /> ----Days - _sue Days Over 90 Days Total Amount Due <br /> $3.141 02 0.00 —--- <br /> 0.00 0.00 $3,141,02 <br /> y Please return this portion below with your payment.Do not attach check to stub. y y <br /> ------------------------------------- <br />