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- <br /> CPG # TO: ?FICE" OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL - [D <br /> ACCOUNT NO. DEPT.NO. MAYC <br /> REFERRAL <br /> 026000.a <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> MOONLIGHT AUTO <br /> C/O NAME GUARANTOR SSN <br /> JOSE ROMERO <br /> MAILING STREET CITY ST ZIP CODE AREA ;PHONE NO. <br /> 2560 S EL DORADO ST STOCKTON CA 95206 209-688-3247 <br /> RESIDENCE STREET CITY' ST ZIP CODE AREA' PHONE NO. <br /> STOCKTON CA 95206 209-547-8996 <br /> USER REFERENCE NO. BILL STAA CYCLE STATUS DATE BMC CBM C INT MONTHLY PAY AMTPROB <br /> 13464 HAZMAT 311"5108 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENTDOR USER REFERENCE NO/NARRATIVE <br /> SERVICE GATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE <br /> NO DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NO <br /> 230 026000.0 2006 -2008 Hmmp . <br /> Annual Fee $210.00 <br /> 1 Chem @ $15.00 <br /> Each Year $45.00 <br /> 10% Late Charge $25.50 <br /> State Surcharge Fee ' $24.00 <br /> TOTAL $304.50 <br /> GUARANTOR , <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> MOONLIGHT AUTO 209-688-3247 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2560 S EL DORADO ST STOCKTON CA 95206 <br /> igFeVSH CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> MOONLIGHT AUTO 209-688-3247 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2560 S EL DORADO ST STOCKTON CA 95206 <br /> PREPARED BY j CHECKED BY JDATE .! ",d" area <br />