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FORWARD, INC_ f INVOICE1145'W"Clharter°Flay f <br /> Stockton,CA 95206 > Invoice Date 11/15J2019 <br /> Invoice No 42-04-000,054024 <br /> REPUBLIC Customer No 4-4204-001.0317 <br /> SERVICES <br /> IL2RSTTD'fl HQ QODD68 Page No 1 of 2 <br /> �dd�lllillrlr�lllllli�>Idiili��adl�l���ldldh•�•�>I��urp� Due Date 12/05/2019 <br /> 4-I & FI ENGINEERING CONSTRUCTION <br /> MARIA JAIMES Current Chamgm Tonal Amount Due <br /> 212 INDUSTRIAL DRIVE -- $756.7 -— $�56.�3 <br /> STOCKTON, CA 35206 <br /> Please Pay Total Amount Dane <br /> Bil1i'rag Questions?Call 209-4676-4492 <br /> IMPORTANT! To avoid duplicate payments,Please pay the CURRENT CHARGES on each <br /> invoice. Also,please send the nemUtance WO yaw payment, Thank you! <br /> Date Code Descr' 3l AmouM <br /> ---- -- - -- _ _— <br /> Reference Rale <br /> 11104 VS SNI-TIMBER/TREATEDfOLD Y81422753 64.50 10.41 TN 671.45 <br /> a 11104 VS Reference:5T70885 <br /> D 11104 VS 'Vehicle: DCC 3357 ,DCC 40YD �4P�� 40°4 2 6 20'19 <br /> CD <br /> 11104 VS Contract:4204122008 <br /> qM <br /> °° 11/04 VS Generator Name:H &H ENGINEERING O� ,6�� <br /> z 11/04 {1 ENVIRONMENTAL FEE 1 SC923432 16.25 1.00 1625 <br /> z -15.25/Ticket ENVIRONMENTAL FEE 1 1 <br /> z 11/04 1 FUEL RECOVERY FEE <br /> z ) SG923433 45.66 1.00 45 6fi <br /> z <br /> z (6.80°70 1 Ticket)FUEL RECOVERY FEE <br /> z SJ Cnty/AB 539 Fee at 2.001TN 0.00 10.41 20.82 <br /> z <br /> z SJ Cnty/Rd Mitigation Fee at 0.161TN 0.00 10.41 1.67 <br /> SJ Cnty/Env Health Fee at 0.0WN 0,00 10.41 0.94 <br /> Material Summary---- <br /> S1N-TIMBER/TREATED/OLD i 10.41 <br /> 0 <br /> a <br /> riCCOUWr STATUS <br /> m <br /> Current 31 6 Gays 61-N Days-� over 90 Days TeW Amoturt Due <br /> A L V/56.79 _ -•.-__----'004 -- 0.00 _ 0.00 $7556_83 <br /> N <br /> y y Please return this portion below with your payment.Do not attach check to stub. 4 y <br /> --------------------------------------------------------------------------------—----------___--___ _— --------------------- <br />