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a <br /> FORWARD, ONC. INVOICE <br /> 11415 West Charter way <br /> Slocidon. CA 95206 Invoice Date 0941512019 <br /> Invoice No 4204-000053638 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> SERVICES <br /> 1L2RSTTDT,GC ID3543r Page No 1 of 2 <br /> ��Isam�a�g�I I��I'l �m�Ia�� 1101Daal�llal��1�1J���1�1,IJ��l�1� q0u <br /> Due ,Date IOil 512019 <br /> ` H&H ENGINEER04G SCO STRUCTION <br /> MARIA JAIMES Current Charges TOW Amount Due <br /> 212 INDUSTRIAL DRIVE $11,452.2 --- 52,399.12 <br /> STOCKTO N,CA 9520!; ------ — <br /> F'Dease Ray'Total Amount:Due <br /> Billing Questions? Call 209-466-4492 <br /> �the:ZDRrn <br /> MTANTM To ensure your payment is,{costed to the correct invoice.,we steed <br /> reru t a,ance ffrom your invoice.Thank you. <br /> z <br /> Date Cade Description R erenm Rase Qom-- q <br /> &9103 VS SWJIMBEWTREATED/OLD Y8 14019467 64.54 9.52TN 64500 <br /> 49x03 VS Reference:4457727 <br /> C3 09103 VS Vehicle: DCC 3364,DCC 40YD <br /> D9103 VS Contract.4204122008 <br /> 09/03 VS Generator.Marne:H&H ENGINEERING �0 <br /> z 091031 EMVIRONMENTAL FEE 1 �,� SC904637 16.25 100 1625 <br /> z -16.251 Ticket ENVIRONMENTAL FEE 1 1 /� <br /> z 090n3 �1 FUEL RECOVERY FEE � SC904638 4309 100 4309 <br /> z <br /> Z <br /> Z (6.68%1 Ticket)FUEL RECOVERY FEE <br /> z p9/11 VS SW-RLIBERITREATED/OLD Y8 1411250 64.50 9 6 TN 64500 <br /> z 09/11 VS Referertce.4457730 <br /> z <br /> 09/11 VS Vehicle: DCC 3364,DCC 40YD P 14 209 <br /> 09111 VS Contract 4204122008 RECEIVE® <br /> 09/11 VS Generator Name:H&H ENGINEERING <br /> a <br /> 0 <br /> CD ACCOUNT STATM SEP 2 3 2019 <br /> t:acrreota T si.ss g s11-s©Qa S o,►z.se Tt�at�arnewnt Ohte H&H ENG. CONST. <br /> ZZ" $2 319.12 0.00 000 0.00 <br /> $2319.12 <br /> A <br /> N <br /> N <br /> y Please return this portion below with your payment.Do not attach check to stub. <br />