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I <br /> Ii Y. <br /> Forward Inc NVOICE <br /> 1145 West Cttaa des Way lnvoucce Date 06130f2020 <br /> Stockton. CA 95206 <br /> Invoilece No 4204-OD0055486 <br /> REPUBLIC Customer No 4-4204-0010317 <br /> SERVICES <br /> 1r2R1_-TTDTkA0 rraa�z_Q Page No 1 of 2 <br /> I ace ofDMdo III III a01111111111111j]I'ltlta1na;,11:11111I'lao1R�tI Due Date 07/20/2020 <br /> H&H ENGINEERING CONSTeUCTIOIN Current Char Total Amount Due <br /> MAIR.I-A JAIMES _ _ <br /> 212 INDUSTRIAL DRIVE $855AI <br /> STOCKTON, CA 95206 -- - <br /> Please Pay Total Amount Ike <br /> e <br /> Billing Questions?Call 209-466-4492 <br /> IMPORTANtTM To ensure your payment is posted to the correct invoice, wire need <br /> tine tom remittance from your invoice. Thank you. <br /> mDate Code De ion Reference - Rabe_-- Quantity Al ourtt <br /> rrrc - SW-TIMBERIfFCEATEDlC)LD 'f$14i1569 67.73 11.4.iTN 15 <br /> 3 06125 VS Reference 6146652 <br /> cD <br /> 06125 VS Vehicle DCC 3354 ,DCC 40YD <br /> 06125 VS Contract: 4204122008 <br /> v, <br /> 06125 VS Generator Name: H &H ENGINEERING <br /> z 06125 (1 ENVIRONMENTAL FEE 1 SCID00907 18.00 1.00 1800 <br /> z -18.00/Ticket ENVIRONMENTAL FEE 1 1 <br /> z %25 )i FUEL RECOVERY FEE SC 1000908 37.31 1.00 37.31 <br /> Z (4.82%/Ticket)'FUEL RECOVERY FEE <br /> z SJ Cnty/AB 939 Fee at 2.00/TN 0.00 1143 2286 <br /> z SJ Cnty/Rd Mitigation Fee at 0.181TN RECEIVE® 0 00 11.43 206 <br /> SJ Cnty/Env Health Fee at 0.091TN 0 00 11.43 1.03 <br /> --Material Summary--- JUL - 6 2020 <br /> SW-TIMBER/TREATEDIOLD 11.43 <br /> H$H ENG. CONST. 395 <br /> ACCCXMiT STATUS <br /> f Current U-n Days -� 61-ft Drys - ; Over 80 D WS Told ArnowA Due <br /> m $855 $855.41 <br /> -41 0.00 0-00 0.0c — — <br /> __- _. <br /> - - -- Please return this portion below with your payment.Do not attach check to stub. y �� <br />