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.siiCeiititilhibay.� <br /> /J <br /> FORWARD, INC. <br /> 1145 VVest Chante(V1/ay INVOICE <br /> StDcktorl. CA 95206 invoice Date 12/15/2019 <br /> invoice No 4204-000054213 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> L2RS I T!1LA SERVICES <br /> ,�l.l�l..yyr.11�dllliliai®!!!tl+silt+lld4uliUBiV0ijV ii clue Date 0o/0(2/ <br /> 1-i &I-+ENGiINEERINC CONSTRUCTION <br /> MARIA JAIIUIES Current Charg" Total Amount Due <br /> 212 INDUSTRIAL DRIVE _$845.48 ----- II <br /> STOCKTON, CA 95206 - -- <br /> �___ 1845.48 <br /> Please Pay Total Amount Cage <br /> 8111ing Questions? Call 209-466-4492 <br /> IMPORTANT!!! To ensure your payment is posted to the correct invoice,we need <br /> the torn remittance from your invoice. Thank you. <br /> r de <br /> _ Rate____ <br /> 11203VS SW-TIIbtBEWTiREATEDIOLD Y81424g96 ---- Q �_ M�ont�t <br /> n 1210.3 VS Reference:577.0886 11.66Tid <br /> a <br /> CD <br /> 0 <br /> 12/03 VS Vehicle:DCC 3354 ,DCC 40YD <br /> m 12/03 VS Contract: 4204122008 <br /> >a <br /> z 12/D3 VS Generator Name:H&'H ENGINEERING <br /> z 12/03 {1 ENVIRONMENTAL FEE 1 SC933288 16.25 <br /> z -16.251 Ticket ENVIRONMENTAL FEE 1 1 1.00 16.25 <br /> z 12/03 11 FUEL RECOVERY FEE <br /> SC933289 50.92 100 50.92 <br /> z (6.77%/Ticket)FUEL RECOVERY FEE <br /> z SJ Cnty/AB 939 Fee at 2.00/TN 0.00 11.66 <br /> Z SJ Cnty/Rd Mitigation Fee at 0.16/TN 23.32 <br /> 0 0.00 1166 <br /> . <br /> SJ Cnty/Env Health Fee at 0.09/TN �� I 1 $7 <br /> Material Summary----- <br /> �y 0.00 11.66 1.05 <br /> SW-TIMBER/TREATED/OLDgip 2a <br /> �� ` 2� 1166 � <br /> 0 <br /> GO ACCOUNy STATUS <br /> Current 31.64 Days 6'1-M Days over 9b - - - <br /> A <br /> Days Te Amowrtt Due <br /> m .➢W.98 0_00 1 0.00 j— <br /> Please return this Portion below with our payment-Do not attach check to stub. Ir i <br /> -------------------- <br />