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TO: OFFICE REVENUE AND RECOVERY V �� <br /> ACCOUNT TRANSMITTAL ../ O <br /> O <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> DATE <br /> 0260 0000 1 9/21/01 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> FRANK'S ONE-STOP <br /> C/O NAME GUARANTOR SSN <br /> IN SOP KIM <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 2072 W YOSEMITE AVE MANTECA CA 95337 408-202-0624 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 209-239-9575 <br /> USER REFERENCE NO. I BILL STA CYCLE STATUS DATEI BMd CBMC INT MONTHLY PAY AMT <br /> 9897 HAZMAT 8/22/01 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENTOR USER R CE NO/NARRATIVE <br /> SERVICE DATE: DATE OF <br /> START T STOP MED REC NO CHARGE <br /> I I I <br /> CHARGE DEPT.NO. I DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NO <br /> 230 0260 0000 2001 Hmmp Annual Fee $70.00 L Business Owner: <br /> 3 Chems @ $15.00 Each $45.00 In Sop Kim <br /> 10% Late Fee $11.50 <br /> 11111111 IT- <br /> TOTAL $126.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> FRANK'S ONE-STOP 408-202-0624 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2072W YOSEMITE AVE MANTECA CA 95337 <br /> SPOUSE CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> FRANK'S ONE-STOP 408-202-0624 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2072W YOSEMITE AVE MANTECA CA 95337 <br /> PREPARED BY q// , e:9 CHECKED BY - _ DATE 9/21/01 <br /> i ��(/ .gtiC GOL 20 lyes <br />