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CPG # y TO: 7ICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL REFERRAL copy ACCOUNT NO. DEPT.NO. <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA FIRST MI TITLE <br /> GERMAN AUTO SERVICE <br /> CIO NAME GUARANTOR SSN <br /> GARY D MAGNESS <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO: <br /> GERMAN AUTO SERVICE 9627 KNIGHT LANE STOCKTON CA 95209 209-465-1313 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> G <br /> 9627 KNIGHT LANE STOCKTON CA 95209 209-951-5090 <br /> USER REFERENCE NO. BILL STAT CYCLE STATUS DATE BMC CBM INT MONTHLY PAY AMT I PYMT PKA QAJE <br /> RO <br /> 10444 HAZMAT1211510$ <br /> CHARGES <br /> i <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION. AMOUNT CHARGE DEPT. NO. DESCRIPTION AMOUNT <br /> Nn <br /> 230 026000.0 2008 Additional Chem $185.00 <br /> 10% Late Charge $18.50 <br /> TOTAL $203.50 <br /> GUARANTOR . <br /> k DOB OR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> GERMAN AUTO SERVICE 209-465-1313 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 600 N EL DORADO ST STOCKTON CA 95202 <br /> SPOUSFi CO--OWNER <br /> AST FIRST MI TITLE `SOC SEC NO. DOB -DR LIC NO AUTO LIC NO <br /> I ! <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> GERMAN AUTO SERVICE 209-465-1313 <br /> EMPLOYER STREET CITY ST ZIP CODE, <br /> 600 N EL DORADO ST STOCKTON CA 95202 <br /> PREPARED BY¢� CHECKED 15ATE / G COL. 20 (3188) <br />