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[;p7 —" T0: `'FICE OF REVENUE AND RECOVERY CO P <br /> � /JACCOUNT TRANSMITTAL V <br /> ACCOUNT NO. DEPT.NO. DAT <br /> REFER <br /> 026000.0 RAL <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> RELIANCE EXPRESS INC <br /> C/O NAME GUARANTOR SSN <br /> AVTAR S DEOL <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> RELIANCE EXPRESS INC 793 S TRACY BLVD TRACY CA 95376 209-938-7996 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 10625 WATERBURY DRIVE STOCKTON CA 95209 209-469-5011 <br /> USER REFERENCE NO. I BILL STA CYCLE STATUS DATE BM CBMC INT I MONTHLY PAY AMT <br /> Q JF DATE TERM DATE <br /> 10669 HAZMAT 3/15/08 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATInnR <br /> VE <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 2008 Hmmp Annual Fee $70.00 <br /> 1 Chem @ $15.00 $15.00 <br /> 10% Late Charge $8.50 <br /> State Service Fee $24.00 <br /> f � i• <br /> TOTAL $117.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> RELIANCE EXPRESS INC 209-938-7996 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1919 E CHARTER WAY STE B STOCKTON CA 95205 <br /> SPeUeH CO—OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> RELIANCE EXPRESS INC 209-938-7996 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1919 E CHARTER WAY SS�JTTEE B STOCKTON CA 95205 <br /> PREPARED BY � CHECKED BY � DATE /3 coy. 20 (aee <br /> V <br />