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FORWARD, INC. INVOICE <br /> 11 4.5 VVest Charter'yU'ay <br /> St�o�M.CA 95206 4 ' lInvoice Date 01 15,12020 <br /> REpUBLtC No 4204-000054401 5Ff�4�'�'CE.� <br /> 1Custa;mer No 4-4204-0010317 <br /> srr3r,u r,c, := Page No 1 of 2 <br /> �� ����llo�6Qac9iI�1���Qa1s9�9�e��rl° �If�allll���'ll��..,�vlAalga�m Due Date 02 O4 2020 <br /> H &I.1 ENGINEERING CONSTRUCT10fN <br /> MARIA JAIMES Current Chanjes Total Amount Due <br /> 212 INDUSTRIAL DRIVE $1,542.61 $1,542.61 <br /> STOCKTO'N, CA 952-M <br /> Please Pay Total Amount jDue <br /> Billing Questions?Call 209466-4492 <br /> BMPORTANTI51 To ensure your paynwnt is posted to the correct invoice,�nre need <br /> the torn remittance from your invoice.Than*you. <br /> Date Code__ Descnption Reference Mate <br /> '� ry SW-TIMBEPJTREATE9fiOLD Quantity Atnwntt <br /> a 01.?Lt3 VS �Referenc 5771;B87 YB 143fi241 b4;_ w T' 645.00 <br /> -� <br /> 01>*0.3 VS Vehicle DCC 3355 ,DCC 40YD r <br /> a 01,03 VS Contract 4204122008 <br /> z 01103 'VS Generator Name: H &H ENGINEERING + <br /> z C1.103 {1 ENVIRONMENTAL FEE 1 <br /> SC943361 18.00 100 18.00 <br /> z -18.00/Ticket ENVIRONMENTAL FEE 1 1 <br /> z 01/03 )1 FUEL RECOVERY FEE <br /> SC943362 4367 1.00 43.67 <br /> z (6.77%1 Ticket)FUEL RECOVERY FEE <br /> z <br /> Z 01/15 VS SW TIMBER/TREAT1=010Lp <br /> z 8 1438899 6450 -1 19 T°i <br /> Z 01115 VS Refi-r gW557` 721.76 <br /> 01/15 VS ;_Vehicle: HJELM J15 j <br /> 01115 VS +Contract:4204122008 t7of P'r'C I 'llO <br /> C) 01./15 VS Generator Name. H&H ENGINEERING <br /> ACCOUNT STATUS <br /> a 9v' ��,,pr <br /> Current 31-60 Days 61-W Days Over 90 Days Total Amount Due l tl Et'�'v• C#-),%ST <br /> av- $1;542.6i <br /> 0 00 0.00 0 DO $1.542 61 <br /> �_�r_ J J,Please return this Portion below with your payment,Do not attach check to stub. y 4, <br /> ----------—------------------ p° <br /> FORWARD <br /> ` - Invoice Date 01/15/2020 ` <br /> 100 1145 West Charter Way Stockton,CA 95206 Invoice No 4204-000054401 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> Current Charges $1 542 61 <br /> ❑ Fsease check if address has changed,and indicate Total Amount Due: $1 542 61 <br /> cf�geis)on reverse side or call phone number above Amount Paid. <br /> Please write your account number on you,check and make payaw to: <br /> 1111 I . oh 1 1 ► 1 I r rl r rl 1 1 seal I r 9 1 H &H ENGINEERING CONSTRUCTION <br /> FORWARD. MARIA JAWES <br /> Please Return PO BOX 31001-1-2265 212 INDUSTRIAL DRIVE <br /> Payment To: PASADENA, CA 9 1 1 1 0-2265 STOCKTON, CA 95206 <br /> 4"I?04n0193L?90000000544BlEl,DQl54261 0-001542611 <br />