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CrC # TO: OFFICE OF REVENUE AND RECOVERY Cop <br /> �] <br /> ACCOUNT TRANSMITTAL V <br /> ACCOUNT NO. DEPT. NO. REFERRAL ,... <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI 9NO. <br /> FRANK SPINGOLO TRUCKING CO INC <br /> C/O NAME GUARANTOR SSN <br /> MARY FRANCES SPINGOLO <br /> MAILING STREET CITY ST ZIP CODE AREA PHO <br /> 1011 N BROADWAY AVE STOCKTON CA 95205 209-465-5675 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 2901 BEYER LN STOCKTON CA 95215 209-465-5675 <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BM CBM INT MONTHLY PAY AMT <br /> PYM PR06 <br /> 1330 HAZMAT 3/20/10 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MED RE NO CHARGE <br /> CHARGE DEPT. NO. DESCRIPTION AMOUNT HARGE DEPT. NO. DESCRIPTION AMOUNT <br /> 'In230 026000.0 Sm Hw Gen <5 Tons/yr $213.00 <br /> 2010 Hazmat Fee $300.00 <br /> State Surcharge Fee $24.00 <br /> Electronic Surcharge Fee $25.00 <br /> Hazmat Penalty Fee $30.00 <br /> Permit Fee Penalty $213.00 <br /> Inspection/reinspection $230.00 <br /> TOTAL $1035.00 <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 /> FRANK SPINGOLO TRUCKING CO INC 209-465-5675 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1011 N BROADWAY AVE STOCKTON CA 95205 <br /> SP98S9 CO-OWNER <br /> ST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I I 1 <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> FRANK SPINGOLO TRUCKING CO INC 209-465-5675 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1011 N BROADWAY AV T TON I CA 95205 <br /> REPARED B CHECKED BY DATE Q_ COL. 20 (3M) <br />