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04/06/2010 15:50 2094640138 trvvlrtVlY K.• �•� �-- ///!!!��� /��}�REVENUE PyTO: OFFICE OP ENGE AND RECOVERY �„ /�1\ <br /> cgs' t ACCOUNT REV TRANSMITTAL <br /> ACCOUNT NO. DEPT,NO. <br /> REFERRAL \�\.✓J/ <br /> 042000 0 1 "21i- D <br /> LAST GUARANTOR - FIRST MI TITLE <br /> LAST - AKA - FIRST MI TITLE <br /> HORTON CONSTRUCTION <br /> GUARANTOR SSN <br /> M NAME <br /> KENNETH D HORTON <br /> CITY ST DE AREA PHONE <br /> MAILING STREET O <br /> 2094818918 <br /> NORTON CONSTRUCTION 8967 PEZZI RD STOCKTON CA 95215 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> STOCKTON CA 95215 2099311620 <br /> 6987 PEZZI ROAD <br /> PY <br /> USER REFERENCE NO. Blll AT CYCLE STAYVS DATE BM CB INT MONTHLY PAY AMT <br /> 7115109 <br /> 13959 HAZMAT <br /> CHARGES <br /> LAST - RECIPIENT - FIRST <br /> MI TITLE RECIPIENT USER REFERENCE NORJARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MEDREC NO CHARGE <br /> 5/26/09 5126/09 DEPT.NO. <br /> CHARGE AMOUNT HARGE DEPT.NO. DESCRIPTION AMOUNT <br /> DESCRIPTION <br /> 230 026000.0 2005- 2009 Annual <br /> 30 0 6 00 0 Hmmp Fee $387.00 <br /> 30 10?6QOq D 4 Chems Q 15.00 1 - <br /> 30 <br /> O?6QOq 0 Each Year $300.00 CGt! <br /> 30 0 6 00 0 10% Late Charge $15000 <br /> ILlvoice ¢18906 <br /> pL $837.00 <br /> GUARANTOR <br /> 6 OR LIC NQ AUTO LIC <br /> PRIOR STREET C _ ST =ZIP <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> HORTON CONSTRUCTION 2094616918 <br /> EMPLOYER 9THEET CITY ST ZIP CODE <br /> 1C20E CHARTER WAY STOCKTON CA 95206 <br /> CO—OWNER <br /> ST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> HORTON CONSTRUCTION 2094816918 <br /> EMPLOYER STREET ST ZIP CODE <br /> 1020E CHARTER WAY STOCKTON �� 'I 'Z CA 95206 <br /> REPARED DY CH K RY TE ca. Iynn <br /> (14 <br /> C�j/ <br />