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E,t <br /> J <br /> Forward Inc INVOKE <br /> 1145 West Ctlafter Nay <br /> Stockton, CA 95206 Invoice Date 04/15/2020 <br /> Invoice No 4204-000054974 <br /> REPUBLIC Customer leo 4-4204-0010317 <br /> SERVICES <br /> =,��rTXP 00093s Rage No 1 of 2 <br /> Due Date 05/05/2020 <br /> H &N ENGINEERING CONSTRUCTION <br /> Clanreut Charges Total Al9aoulrt Due <br /> MARIA JAIMES ----__ <br /> 212 INDUSTRIAL DRIVE ;9a4.T4- s1,STl.3A <br /> STOCKTON, CA 95206 <br /> Please Pay Total Amount Daae <br /> Billing Questions? Call 209-466-4492 <br /> IMPORTANT±t? To ensure your payment is posted to the correct invoice,we need <br /> the torn remittance fram your invoice.Thank you. <br /> Date Code Dest�w!_ Relleaenoe _R—e Amount <br /> 44103 VS SW-TIMBER/TREATED/OLD Y81457442 67.73 12.08TN 818.18 <br /> 0403 VS Reference 6146645 <br /> a <br /> 04/03 VS Vehicle: DCC 3356 ,DCC 40YD <br /> W 003 VS Contract:4204122008 <br /> `° 04103 VS Generator Name: H&H ENGINEERING <br /> z04/03 11 ENVIRONMENTAL FEE I SC974197 1800 1.00 18.00 <br /> z <br /> z <br /> z -18.001 Ticket ENVIRONMENTAL FEE I 1 <br /> z <br /> z 04/03 )1 FUEL RECOVERY FEE SC974198 51.14 1.00 51.14 <br /> z (8.25%/Ticket)FUEL RECOVERY FEE <br /> z SJ Cray/AB 939 Fee at 2.00/TN RECEIVED 0 00 12.08 24.16 <br /> z SJ Cnty f Rd Mitigation Fee at 0.181TN 000 1208. 2 17 <br /> z <br /> 13 SJ Cnty/Env Health Fee at 0.091TN App 2 3 1020 0.00 12.W 1.09 <br /> j -Material Surnnlwy-- <br /> SW-TtN1SERl1rREATED/OLD 12.0$ <br /> o MH ENG. CO NIST. 3515 <br /> 00 ACCOUNT sTATM _ _ _ <br /> CunerN-- 1-- 31-69 Days _ --6140 Days -- Over!0 Oa)Is Told Anwed Due <br /> m <br /> $1,671. <br /> o.o© oao -- o� —_ $�,s7�so APR 8 0 2023 s� <br /> C. <br /> �, �,Please return this portion below with your payment.Do not attach check to stub. 4. <br />