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CPG• # TO: OFFICE OF REVENUE AND RECOVERY _ <br /> ACCOUNT TRANSMITTAL Capy <br /> ACCOUNT NO. DEPT. NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA --FIRST MI TITLE <br /> COMCAST CABLE-TRACY <br /> C/O NAME GUARANTOR SSN <br /> COMCAST CORPORATION <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> COMCAST CABLE-TRACY 1242 NATIONAL DR SACRAMENTO CA 95834 9168306794 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 1701 JOHN F. KENNEDY BLVD PHILADELPHIA PA 19103 215-981-7581 <br /> PROB <br /> USER REFERENCE NO. BILL kTAT ICYCLE STATUS DATE 13Md CBMd INd MONTHLY PAY AMT <br /> 12570 HAZMAT I 1 11 11 1 1 1 1 1 1 1 1 1 1 1 1.3/15/1 <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF <br /> STA T STOP MED REC NO CHARGE <br /> I iiiiij. , Ado <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIP <br /> 230 042000.0 2012 Hazmat Fee $85.00 p8q P4400P.0, <br /> 30 1 114190010 1 Hazmat Penalty Fee $8.50 p8q 1043009.01 <br /> p8q I q42900fl) I State Surcharge Fee $24.00 p8q 043009.01 <br /> 38g 1 0I42q0010 I Electronic Surcharge Fee $25.00 p8q P42000.01 <br /> 80 1 00290010 8P43009.01 <br /> 80 2 00 0 I 218q4 00 .0 <br /> 80i I 0 2qOO.p I p8q4 00 .0 <br /> TOTAL $142.50 <br /> GUARANTOR <br /> PRIOR STREET QT ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> COMCAST CABLE-TRACY 9168306794 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 305 W 11TH ST TRACY CA 95376 <br /> AST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> COMCAST CABLE-TRACY 9168306794 <br /> EMPLOYER STREET <br /> 305 W 11TH ST TRACY I CA 1 95376 <br /> CHECKED BY IDATEcoL. zo Neel <br />