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TO: OFFICE REVENUE AND RECOVERY py <br /> ACC <br /> OUNT TRANSMITTAL <br /> ACCOUNT NO, DEPT.NO. REFERRAL <br /> 0260 0000 9/21/01 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> LOUIE'S GARAGE <br /> C/O NAME GUARANTOR SSN <br /> VICTOR LOUIE <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 336S HUNTER ST STOCKTON CA 95203 209-948-2241 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 209-948-2241 <br /> USER REFERENCE NO. I BILLI STA CYCLEJ STATUS DATEI BMd CBMC INT I MONTHLY PAY AMT <br /> DI IF DAT TERM DATE <br /> 645 HAZMAT 8/22/01 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT DOB IUSER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF 3 <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE EPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 0260 Don 2001 Hmmp Annual Fee $70.00 Business Owners: <br /> 1 Chem @ $15.00 Each $15.00 1 1 1 1 1 1 1 Victor& Anita Louie <br /> 10% Late Fee $8.50 Previous Referrals: <br /> 8/8/97- #0041597-00 <br /> 7/17/95-#0041219-00 <br /> TOTAL $93.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> LOUIE'S GARAGE 209-948-2241 <br /> EMPLOYER STREET CITY ST ZIP ODE <br /> 3365 HUNTER ST STOCKTON CA 95203 <br /> SPOUSE CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> LOUIE ANITA <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> LOUIE'S GARAGE 209-948-2241 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 336 SHUNTER ST STOCKTON CA 95203 <br /> PREPARED / CHECK Y ° DATE 9/21/01 <br /> �� COL 20 (3/88) <br />