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CPQ # TO: r-^ICE OF REVENUE AND RECOVERY <br /> )OO. ACCOUNT TRANSMITTAL ..r COPYACCOUNT NO. DEPT. N . REF026000.0 ERRAL <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> JUAREZ METALS <br /> C/O NAME GUARANTOR SSN <br /> DEBORAHJUAREZ <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> JUAREZ METALS 1218 MACDUFF AVE STOCKTON CA 95209 209-473-4368 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 1218 MACDUFF AVE STOCKTON CA 95209 209-473-4368 <br /> USER REFERENCE NO. BILL TAT ICYCLE ISTATUS DATE BM CBM INT MONTHLY PAY AMT I PYIVIT p I PROB <br /> 13243 HAZMAT 11/15/09 <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 /> Nn <br /> 230 026000.0 2004 - 2009 Hmmp <br /> Annual Fee $1440.00 <br /> 2 Chems @ $15.00 <br /> Each Year $180.00 <br /> 10% Late Charge $162.00 <br /> TOTAL 1 $1782.00 <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 /> JUAREZ METALS 209-473-4368 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1411 EJACKSON ST STOCKTON CA 95205 <br /> SPAHSE- CO—OWNER <br /> AST FIRST MI TITLE SOC SEC NO. I DOB DR LIC NO I AUTO LIC NO <br /> I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> JUAREZ METALS 209-473-4368 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1411 E JACKSON ST ST KT O CA 95205 <br /> REPARED B ICHECKEDBY 12ATE 116110 COL n (arae) <br />