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`p� F T0: �ICE OF REVENUE AND RECOVERY Copy <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT. NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> PASQUALA&ANGEL'S MARBLE INC <br /> C/O NAME GUARANTOR SSN <br /> PASQUALA&ANGEL'S MARBLE INC <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 4025 ARCH RD STOCKTON CA 95215 209-463-8265 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 4025 ARCH ROAD STOCKTON CA. 95215 209-463-8265 <br /> USER REFERENCE NO. BILL STAJ CYCLE STATUS DATE BMd CBMC INT I MONTHLY PAY AMTDATE TERM DLTL <br /> 12887 HAZMAT I I 1 1 1112/15/071 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MED RED NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2005-2007 Hmmp <br /> Annual Fee $720.00 <br /> 3 Chems @ $15.00 <br /> Each Year $135.00 <br /> 10% Late Charge $85.50 <br /> TOTAL $940.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> PASQUALA&ANGEL'S MARBLE INC 209-463-8265 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 4025 ARCH RD STOCKTON CA 95215 <br /> SReUS•E CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> PASQUALA&ANGEL'S MARBLE INC 209-463-8265 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 4025 ARCH RD STOCKTON CA 9X15 <br /> PREPARED BY CHECKED BY : DATE � 0y COL. 20 A e <br />