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44[ t. <br /> Forward Inc � MOICE <br /> 1145 West Charieir Way <br /> Stocktola. CA 95206 invoice Date 03/31/2020 <br /> lnvoice No 42044'0054883 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> SERVICES <br /> r'2RSar76TK6 (079939 Page No I of 2 <br /> Due Date 04120/202.0 <br /> c H & H ENGINEERING CONSTRUCTION i+ CEIVED Curren` Oheraes Ti'otall Amount Due <br /> MARIA JAIMES <br /> 212 INDUSTRIAL DRIVE $755.56 $756.56 <br /> STOCKTON, CA 95206 SEP 0 9 2021 <br /> PIlease Pay ToIa1 Amount Due <br /> ENVIRONNILNITAL, HEALTH <br /> DEPART1NIL•'NT 1134in9 Questions? Call 209-41.66-4492 <br /> IMPORTANT!!!To ensure your payment is posted to the correct invoice, we need <br /> tt>e torn remittance from your invoice.Thank you <br /> _ Date Code Description Reference Rate Quantity _ Awmv t <br /> 03127 VS Sid/-TIMBERITREATEDIOLD Y8 1455i33 78.34 IN 677.30 <br /> 0 03127 VS Reference- 4457758 <br /> CD 03127 VS Vehicle HJELM J15 <br /> O <br /> m 03127 VS Contract.4204122008 <br /> co <br /> 03/27 VS Generator Name: H&H'ENGINEERING <br /> z03127 (1 ENVIRONMENTAL FEE 1 SC971866 18.00 1.00 18.00 <br /> z <br /> z <br /> z -18.00/Ticket ENVIRONMENTAL FETE 1 1 <br /> z03/27 }1 FUEL RECOVERY FEE SC971867 42:33 1.:00 42.33 <br /> z <br /> z (6.251/6/Ticket)FUEL RECOVERY FEE <br /> Z SJ Cnty/AB 939 Fee at 2..DOITN ' 2 0.00 834 16-68 <br /> z SJ C.nty I Rd Mitigation Fee at 0.181TN �� 0.0D 8..34 1.50 <br /> SJ Cnty I Env Health Fee at 0.09/TN '� 0.00 8.34 0-75 <br /> Material Summary <br /> SIM-TIMBEF3/TREATEDIOLD 8.3 ;x,Aq- <br /> 2 2021t <br /> ACCOUlff STATUS <br /> 31-40 <br /> Curre - ToWAmoawADue _ APR 0 3 21 01 <br /> �-— nL1ays -- - - <br /> $756.56 0.00 &t-90 Days Over N Days <br /> --- <br /> D DO 0.00 $756.56 <br /> CDW <br /> H EI EP G. CO Z-21 1" <br /> d 4 Please return this portion below with Yom payment Do not attach check to stub. J. y <br /> it Forward Ieic Invoice Date 03/31/2020 <br /> aw sAwd, <br /> QW, #4 1145 West Charter Way Invoice No 4204-000054883 <br /> t Stockton,CA 95206 Customer No 4-4204-0010317 <br /> REPUBLIC <br /> SEPt<TC-r-s' <br /> Current Charges $756.56 <br /> Total Amount Daae: $75656 <br /> ❑ Please check if address has changed,and indicate change(s)on reverse side or call phone number above. Amount Paid <br /> Please write your account number on your check and make payable to: <br /> i H &H ENGINEERING CONSTRUCTION <br /> Jlife 1111`111'I�r11rO11`111`11$`11111111.111h1 1`11111 MARIA JAIMES <br /> Forward Inc 212 INDUSTRIAL DRIVE <br /> Please Return P O Box 31001-2265 STOCKTON, CA 95206 <br /> Payment To: Pasadena CA 91110-2265 <br /> 4420400910317000000005L18830000756560000756565 <br />