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C?G # TO: 'ICE OF REVENUE AND RECOVERY � Co py <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> DATE <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> IDEAL QUARTZ MACHINING INC <br /> C/O NAME GUARANTOR SSN <br /> JONATHAN SMITH <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 17990 IDEAL PKWY MANTECA CA 95336 209-824-1944 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 2708 PALOMINO LN MODESTO CA 95355 209-576-8615 <br /> USER REFERENCE NO. I BILL STA CYCLE STATUS DATE BM CBMC INT I MONTHLY PAY AMT <br /> 10072 HAZMAT j 2/23/05 <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 CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2005 Hmmp Annual Fee $240.00 <br /> 5 Chems @ $15.00 Each $75.00 <br /> 10% Late Charge $31.50 VA lav <br /> State Service Fee $24.00 k <br /> TOTAL $370.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST_j ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> IDEAL QUARTZ MACHINING INC 209-824-1944 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 17990 IDEAL PKWY MANTECA CA 95336 <br /> OPe%B CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> IDEAL QUARTZ MACHINING INC 209-824-1944 <br /> EMPLOYER STREET CITY ST ZIPCODE <br /> 17990 IDEAL PKWY MANTECA CA 95336 <br /> PREPARED BY / CHECKED BY DATE ��os COL 20 tares <br /> GZ d <br />