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�. <br /> AIW 1011or <br /> Forward Inc INVOICE <br /> 1145 West Chader Way , ►' Invoice Date 05115/2020 <br /> Stockton. CA 952+006 Invoice No 4204-OON55169 <br /> REPUBLIC customer-No 4-4204-0010317 <br /> SERVICES <br /> L2tsTTDTU OMMI, Paige No 1 of 2 <br /> auu�4aau�luaaruu � �ua�ruauu���®�llu�lu�ull��ru�allrlr��a���u��J�la Daae Date 06/4412020 <br /> H &H ENGINEERWG CONSTROCTI0N Current Charges Total Amount Due <br /> MARIA JAIIMES <br /> 212 INDUSTRIAL DRIVE $797.80 $797.80 <br /> STOCKTON,CA 9.5206 <br /> Tease Ray Totail Amount Daae <br /> Billing Questions? Call 209-466-4492 <br /> IMPORTANT!!!To erasure your payment is posted to the correct invoice,we need <br /> the torn remittance from your invoice. Thank you. <br /> - Oalle -Code —�--- ---- - _ Refere--oe Rile Amas d <br /> 0904 VS SW-TIMBOUTREATED101-11) Y8 i464= 67.73 1055 IN 71455 <br /> (6104 VS Reference:6146648 <br /> 10 05/04 VS Vehicle:DCC 3354 ,DCC 40YD <br /> fl <br /> 05104 VS Contract:4204122008 <br /> Z 05/04 VS Generator Name.H&H ENGINEERING <br /> z 45104 {1 ENVIRONMENTAL FEE 1 SC983177 18.00 100 18.00 <br /> z -18.00/Ticket ENVIRONMENTAL FEE 1 1 <br /> Z 05/04 }1 FUEL RECOVERY FEE SC983178 4130 100 41.30 <br /> z (5.78%/Ticket)FUEL RECOVERY FEE <br /> Z SJ Cnty I AB 939 Fee at 2.00/TN 000 10.55 21.10 <br /> z SJ Cnty I Rd Mitigation Fee at 0.181TN Uj� �. 000 10.55 1.90 <br /> SJ Cnty/Env Health Fee at 0 09/TNJ N 000 10-55 0.95 <br /> --—Material Summary <br /> SW-TIMBERfTREATEDIOLD �� 10.55 <br /> MAY �6 2020 PI� bE Tq�E D <br /> ACCOUNT STATUS �\ <br /> currewt n Duets Over 9i Days Tata-Mwuel Due <br /> $797.80 _— 0.00 0.00 000 $-797.80 <br /> J. 4,Please return this portion below with your payment.Do not attach check to stub. 4, 4 <br />