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CPG # T0: VICE REVENUE AND RECOVERY a.1 ^ O ply ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> DATE <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> HARBOR SERVICES COMPANY <br /> C/O NAME GUARANTOR SSN <br /> HARBOR SERVICES COMPANY <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO, <br /> HARBOR SERVICES COMPANY 2406 N LAKE AVE ALTADENA CA 91001 - 626-945-6309 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 2406 N.LAKE AVE ALTADENA CA 91001 626-368-4065 <br /> YMI <br /> USER REFERENCE NO. I BILL SjAj CYCLE STATUS DATE BM CBMC INT MONTHLY PAY AMT <br /> 12167 HAZMAT I I I I I I I I I I I I I I j 2/23/05 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NOMARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2004 -2005 Hmmp <br /> Annual Fee $480.00 <br /> 2 Chems @ $15.00 <br /> Each Year $60.00 WOWy <br /> 10% Late Charge $54.00 <br /> State Service Fee $24.00 <br /> TOTAL $618.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> HARBOR SERVICES COMPANY 626-945-6309 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1399 S CHRISMAN WAY TRACY CA 95376 <br /> SPeH3E CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. I DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> HARBOR SERVICES COMPANY 626-945-6309 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1399 S CHRISMAN WAY TRACY CA 95376 <br /> PREPARED BYI CHECKED BY JDATE Z,9 as 1 COL. 20 M8 <br />