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CPG # TO: nFFICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT. NO. REFERRAL IIIIUUULrrr-�J V <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> MCDONALD DEVELOPMENT <br /> C/O NAME GUARANTOR SSN <br /> TERRY MCDONALD FT I <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> MCDONALD DEVELOPMENT 345 N YOSEMITE ST#B STOCKTON CA 95203 209-466-2200 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 345 N YOSEMITE STREET STE B STOCKTON CA 95203 209-466-2200 <br /> USER REFERENCE NO. BILL bTAT CYCLE STATUS DATE BMA CBMd INT MONTHLY PAY AMT I P <br /> 14567 HAZMAT 1.11/15/11 <br /> CHARGES <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 HARGE DEPT. NO. DESCRIPTION AMOUNT <br /> 230 042000.0 2011 Hazmat Fee $330.00 380 042000.0 <br /> 230 042000.0 Hazmat Penalty Fee $33.00 380 042000.0 <br /> 380 042000.0 380 042000.0 <br /> 380 042000.0 380 042000.0 <br /> 380 042000.0 380 042000.0 <br /> 380 042000.0 380 042000.0 <br /> 380 042000.0 380 042000.0 <br /> TOTAL $363.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> MCDONALD DEVELOPMENT 209-466-2200 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1018W FREMONT ST STOCKTON CA 95203 <br /> CO-OWNER <br /> AST FIRST MI TITLILI SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> MCDONALD DEVELOPMENT 209-466-2200 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1018 W FREMONT ST STOP ON CA 95203 <br /> REPARED BY CHECKED BY JDATE COL. zo I�sel <br />