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FORWARD, INC. INVOICE <br /> 1145'West Chartef,Way <br /> S.te+c;0on, CA 95206 Druvoise Date 0&31,/2.019 <br /> Dn,voutce No 4204-000053531 <br /> REPUBLIC Customer No 4-4204-301,0317 <br /> SFF?VICES <br /> Page IN 1 of 2 <br /> D.�O@'@ ',ous:4DBBl��1"'9@@D@@ DaDa���B�ana�VDl�oD@9a9D�@@�@Q@@S@ell�ll Due Date 0S/30/2019 <br /> s tH & H ENGINEERING COWSTRLICTsON <br /> 81AARIA ,A"MES Current Charges Total Amount Due <br /> 212 INIDU3 TRIAL DRIVE <br /> STOCKTON. CA .95206 <br /> IP@ease Pay TottaD Amount Due <br /> SiIii.n0 Questiions?CaDO 209-456-4492 <br /> F <br /> ORTAINM!➢ To erasure youlr gsaymmera$as pos$�to the correct Invoace,ure nasalorn reimlit$ance from <br /> your invobce. Thank you. <br /> Oaie Code Description Reference Rate Arnourd <br /> -� 08/21 VS SW-TIMBER/TREAI`ED/OLD Y? 1406936 64.50 11.97TN� i 7t rl_. <br /> owl VS Relerenoe.5514694 <br /> 08/21 VS Vehicle DOC 3354,DCC 40YD <br /> 08I21 VS Contract 420412.2008 <br /> 06/21 VS Generator Name H&H ENGINEERING <br /> z <br /> z 08121 (1 ENVIRONMENTAL FEE 1 SC900358 16.25 1.00 <br /> Z 16.25 <br /> z -16,25/Ticket ENVIRONMENTAL FEE 1 1 <br /> z 08121 11 FUEL RECOVERY FEE SC900359 51.57 1.00 51.57 <br /> z (6.5896/Ticket)FUEL RECOVERY FEE RECEIVED <br /> Z SJ Cnty/AS 939 Fee at 2.00/TN 0.00 11.97 23.94 <br /> z SJ Cnty I Rd Mitigation Fee at 0.16fTN 0,00 11.97 1.92 <br /> SJ Cnty I Env Health Fee at 0.09/TN SEP 0 9 2019 0:00 11.97 1.08 <br /> -- Material S=rnary--- <br /> SW-T1k/IBERnfREATED/OLD H&H ENO. CONSY. <br /> 1 t-97 <br /> ACCOUNT STATUS <br /> N <br /> Current 31-5® _ - .._---_._-_-D-- - <br /> r.: ID�fs 61-90 Days Over 90 D�►s Total Mrouat Due 71/ <br /> S2 559 54OA0 00 000 $2.5%.64CEP 1120191 <br /> 1 4- Please return this Portion below with your payment.Do not attach check to stub. 1 y <br /> -------------------------- -----'-------------------- <br /> FORWARD, INC. Invoice Date 08/31/2019 ------ <br /> ' } 1145 West Charter Way Invoice No. 4204-000053531 <br /> ��j Stockton, CA 95206 Customer No. 4-4204-0010317 <br /> REPUBLIC <br /> SERVICES <br /> Current Charges: $866M <br /> Total Amount Due: $2,559.64 <br /> ❑ Please check if address has changed and indicate change(s)on reverse side or call phone number above. Amount Paid <br /> Please wrote your account number on your check and make payable to: <br /> MAR AEA ENGINEERING CONSTRUCTION <br /> ES <br /> FORWARD, INC 212 INDUSTRIAL DRIVE <br /> Please Return PO BOX 31001-2265 STOCKTON, CA 95206 <br /> Payment TO: PASADENA, CA 91110-2265 <br /> q4204001031;700000000535310000866830002559649 <br />