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TO: OFFICE OF REVENUE AND RECOVERY <br /> • ACCOUNT TRANSMITTAL . <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> 026000.0 7/12/02 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> WENDY'S(3810) <br /> C/O NAME GUARANTOR SSN <br /> WENDY'S INTERNATIONAL INC <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 503-691-2022 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 7591 S/W MOHAWK ST TUALATIN OR 97062 503-691-2022 <br /> USER REFERENCE NO. BILL STAI CYCLE STATUS DATE BMd CBMC INT I MONTHLY PAY AMT <br /> 10091 HAZMAT 1 1 1 1 1 1 1 1 1 1 1 1 1 4/22/02 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> nnR <br /> SERVICE DATE: DATE OF oho py START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT,NO. DESCRIPTION AMOUNT <br /> NONn <br /> 230 026000.0 2002 Hmmp Annual Fee $240.00 Business Owner: <br /> 1 Chem @ $15.00 Each $15.00 Wendy's InternationaF <br /> lRG 4(692) 694 292-2 <br /> 10% Late Charge $25.50 <br /> TOTAL $280.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> WENDY'S(3810) 503-691-2022 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 3810E HAMMER LN STOCKTON CA 95219 <br /> B13OUSE CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> WENDY'S(3810) 503-691-2022 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 3810 E HAMMER LN STOCKTON CA 1 95219 <br /> PREPARED BY t CH E Y DATE 7/12/02 <br /> COL. 20 (383 <br />