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.3 <br /> Forward Inc ` INVOICE <br /> 1145 West Cbaflec Way <br /> StwXton, CA 95206 Invoice Date 04/30/2020 <br /> invoice No 4204-000055074 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> SER ICES <br /> Page No 1 of 2 <br /> uJ�Ja�ula.ull�>IgololooOaJ➢au�uJaali,alaJa�>I8D11°slll���e^Il�ll�int� Due Date 05/20/2020 <br /> H&H ENGINEERING C0INSTR'UCTIOIN Current C <br /> �L!1,A,RIA JAIMES T"ota� Amount Due <br /> 212 INDUSTRIAL DRIVE $1.670.*J9 _ 11i2,51t5.73 <br /> ST©CKTOIN, CA 95206 -- <br /> Please Pay Total Amount Due <br /> Billing Questions? Call 209-456-4492 <br /> lilAt'ORTA iT?!!To ensnare your payn ent is posted to the correct invoice,we geed <br /> ttae#Drat rer»ittanc®from your invoice.Thank you. <br /> .' code RaeQ—lll— <br /> � - Among <br /> 0 04/17 VS SIN-TIMBER/TRFATED/OLD Y81460500 67.73 11.01 TM 745.71 <br /> 04117 VS Reference:6146646 <br /> 0 <br /> 04/17 VS Vehicle: DCC 3362,DCC 40YD <br /> 04/17 VS Contract 4204122008 <br /> W17 VS Generator Name:H &H ENGINEERING <br /> z <br /> z 04117 (1 ENVIRONMENTAL FEE 1 5C978510 1800 1.00 18.00 <br /> Z -18.00/Ticket ENVIRONMENTAL FEE 1 1 <br /> z 04117 }1 FUEL RECOVERY FEE SC978511 4310 9 00 43-10 <br /> z <br /> z (5.78%/Ticket)FUEL RECOVERY FEE <br /> Z 04123 VS SW TIMBERITREATED/OLD <br /> z �\ i� Y3 1462G30 67 73 1 I i i TFJ 752.48 <br /> z 04123 VS Reference-6146647 <br /> 12 04/23 VS Vehide: DCC 3353 ,DCC 40YD 'l <br /> 04J23 VS Contract:4204122008 RFCEzN'R' <br /> 04123 VS Generator Name: H&H ENGINEERING MAY 12 2021I <br /> I�n,� 112020 <br /> ACCOUNT STATUS CWWW —_31-46Days 6._[_4 16Day—s Over 90 Days _Tota A.puso we H&H ENO. CONST. <br /> $Z55.70.00 0.00 0.00 Sz.U5_I3 <br /> dD <br /> y Please return this portion below with your payment-Do not attach check to stub. y <br />