Laserfiche WebLink
CPG # TO: - "FICE OF REVENUE AND RECOVERY <br /> ACCOUNT N0. "'' ACCOUNT TRANSMITTAL COPY 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> TOKAY HIGH SCHOOL 1 11 <br /> C/O NAME GUARANTOR SSN <br /> LODI UNIFIED SCHOOL DISTRICT <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> TOKAY HIGH SCHOOL 1305 E VINE ST LODI CA 95240 209-331-7213 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO, <br /> 1305 E VINE ST LODI CA 95240 209-331-7000 <br /> USER REFERENCE NO. IBILL FAT ICYCLE ISTATUS DATE BMCI CBM INTI MONTHLY PAY AMT IQATP <br /> P R <br /> 1403 HAZMAT 3/15/09 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> JII 1 11 11- 111 1111111 <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGEKin DEPT. NO. DESCRIPTION AMOUNT CHARGE DEPT. NO. DESCRIPTION AMOUNT <br /> 230 026000.0 2009 Hmmp Annual Fee $240.00 <br /> 7 Chems @ $15.00 Each $105.00 <br /> 10% Late Charge $34.50 <br /> State Service Fee $24.00 M IBM <br /> Sm Hw Gen <5 Tons/yr $213.00 <br /> Permit Fee Penalty $213.00 <br /> TOTAL $829.50 <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 /> TOKAY HIGH SCHOOL 209-331-7213 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1111 W CENTURY BLVD LODI CA 95240 <br /> S-PAUS& CO—OWNER <br /> ST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> TOKAY HIGH SCHOOL 209-331-7213 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1111 W CENTURY BLVD LODI CA 240 <br /> PREPARED BY I CHECKED BY ATE ! o COL 4(yae)) <br /> 6 <br />