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_. ,., _a.,, ._�.,_ ,-.:.-•s rte- .. .,_ ,... - - <br /> FORWARD, INC. INVOICE <br /> 3145 West Chatter Way <br /> Stockton. CA 95206 Invoice ®ate 011/311/20293 <br /> Invoice No 4204-0000544S7 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> SECES <br /> URSUCT14 001092 Page No 1 of 2 <br /> Due Date 02/20/2020 <br /> H & H ENGINEERING CONSTRUCTION <br /> MARIA JAIMES CUPP� �Charges TotaB Amount Due <br /> 212 INDUSTRIAL DRIVE $749.49 — - $2,292.10 <br /> STOCKTON, CA 95.206 <br /> Please Pay Total Amount Dace <br /> Billing Questions? Call 209-456-4492 <br /> OMPOt2TANTM To ensure your Payment is posted to the correct invoice, we need <br /> the torn remittance from your invoice. Thank you. <br /> Die _code I)escri _— -- a Rale _--Quaift------- Among <br /> 01@7 — VS SW-TIMBERfTREATEDIOLD Y81441775 64.50 10.28TR 66306 <br /> D 01127 VS Reference-5770888 <br /> 01127 VS Vehicle: DCC 3364,DCC 40YD <br /> to 01127 VS Contract:4204122008 <br /> PO <br /> Z 01127 VS Generator Name:H &H ENGINEERING <br /> z 01/27 (1 ENVIRONMENTAL FEE 1 SC951779 18.00 1.00 18.00 <br /> z -18.00/Ticket ENVIRONMENTAL FEE 1 1 <br /> z 01/27 )1 FUEL RECOVERY FEE SC951780 45.09 1.00 45.09 <br /> z (6.80%/Ticket)FUEL RECOVERY FEE <br /> Z SJ Cnty I AB 939 Fee at 2.00ITN 0.00 10.28 20.56 <br /> z SJ Cnty/Rd Mitigation Fee at 0.1&TN `,��� 0.00 10.28 1.85 <br /> SJ Cnty/Env Health Fee at 0-09ITN ,%\ 0.00 10.28 0.93 <br /> 13 Material SummaryCD <br /> SW-TIMBERITREATEI)KAD 10.28 <br /> 2/ FEB 12 202f1. 017ZE --gVGFn <br /> ACCOUMF STATUS <br /> Cured_ 3166 Days -61-n Uays-- t Over 94 Days Total Arnout!Oue <br /> E- $e to - ------ --- —�--- -- ----- ----- FF9 10 2020 <br /> 0.00 0.00 0-00 $2,23210 <br /> i l:adS J MO. CONST <br /> L Please return this portion below with your payment.Do not attach check to stub. <br />