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CPG # TO: BICE OF REVENUE AND RECOVERY � 0 PY <br /> ... ACCOUNT TRANSMITTAL .../ <br /> ACCOUNRFIRST <br /> T. NO. REFERRAL <br /> 000.0 <br /> LAST - GUARMI TITLE LAST - AKA - FIRST MI TITLE <br /> OAKLAND BAC/O NAME GUARANTOR SSNOAKLAND BA <br /> MAILING STREET CITY ST ZIPCODE AREA PHONE NO. <br /> 635 S AURORA ST STOCKTON CA 95203 209-467-0188 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> MT <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BM CBM INT MONTHLY PAY AMT <br /> 13824 HAZMAT 7/15/09 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> Don <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT. NO. DESCRIPTION AMOUNT HARGE DEPT. NO. DESCRIPTION AMOUNT <br /> 230 026000.0 2008& 2009 Annual Pic <br /> Hmmp Fee $480.00 <br /> 6 Chems @ $15.00 <br /> Each Year $180.00 <br /> 10% Late Charge $66.00 <br /> TOTAL $726.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> OAKLAND BAGS 209-467-0188 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 635 S AURORA ST STOCKTON CA 95203 <br /> S SC6 CO-OWNER <br /> AST FIRST MI TITLE SOC SEC NO. I DOB DR LIC NO AUTO LIC NO <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> OAKLAND BAGS 209-467-0188 <br /> EMPLOYER STREET A CIT ST ZIP CODE <br /> 635 S AURORA ST STOCKTON _ CA 95203 <br /> PREPARED BY <br /> CH ED BY JDATE COL <br />