Laserfiche WebLink
CPC # T0: ICE OF REVENUE AND RECOVERY <br /> 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 /> SUBURBAN PROPANE LP <br /> C/O NAME GUARANTOR SSN <br /> SUBURBAN PROPANE LP <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> SUBURBAN PROPANE LP 1622 N BROADWAY AVE STOCKTON CA 95205-3047 209-369-9777 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> P.O. BOX 206 WHIPPANY NJ 07981-0206 800-887-5300 <br /> USER REFERENCE NO. I BILL STA CYCLE STATUS DATE BMd CBMC INT MONTHLY PAY AMTDATE TERM DATE <br /> 4483 HAZMAT 3/15/06 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT I USER REFERENCE NO/NARRATIVE <br /> nnR <br /> SERVICE DATE: DATE OFSTART STOP MED REC NO CHARGECOPY <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2006 Hmmp Annual Fee $240.00 <br /> 1 Chem @ $15.00 $15.00 <br /> 10% Late Charge $25.50 <br /> State Surcharge Fee $24.00 AM <br /> TOTAL $304.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CRY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> SUBURBAN PROPANE LP 209-369-9777 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 23901 S CHRISMAN RD TRACY CA 95304 <br /> SPeVER CO—OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> SUBURBAN PROPANE LP 209-369-9777 <br /> EMPLOYER STREET CITY ST ZIPCODE <br /> 23901 S CHRISMAN RD TRACY CA 95304 <br /> PREPARED BY I CHECK DAT -�� O� coy. zo ryae <br />