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"PG <br /> —�--_ TO: C- 'CE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL s <br /> ACCOUNTNO. <br /> DEPT. NO. REFERRAL Cop <br /> �LAST - GUARANTOR - FIRST 026000.0 MI TITLE <br /> BARROS'AG WELDING AND TRAILER LAST AKA - FIRST MI TITLE <br /> C/O NAME GUARANTOR SSN <br /> JJGS CORP <br /> MAILING STREET <br /> CITY ST ZIP CODE AREA PHONE NO. <br /> BARROS'AG WELDING AND TRAILER REPAIR 1623 THIRD ST ESCALON CA 95320 <br /> 209-838-6425 <br /> RESIDENCE STREET CITY <br /> ST ZIP CODE AREA PHONE NO. <br /> 1623 THIRD STREET ESCALON CA 95320 209-838-6425 <br /> USER REFERENCE NO. BILL STA CYCLE STATUS DATE BM CBMC INT MONTHLY PAY AMT <br /> 11518 HAZMAT <br /> 3/15/07 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> DOR <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 2007 Hmmp Annual Fee $240.00 <br /> 2 Chems @ $15.00 Each $30.00 <br /> 10% Late Charge $27.00 <br /> State Service Fee $24.00 , <br /> TOTAL $321 .00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> BARROS'AG WELDING AND TRAILER REPAIR 209-838-6425 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 26414 LONE TREE RD ESCALON CA 95320 <br /> SR9T3$E CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LICNO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> BARROS'AG WELDING AND TRAILER REPAIR 209-838-6425 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 26414 LONE TREE RD ESCALON I CA 95320 <br /> PREPARED BY CHECKED BY --��e DATE -7 COQ. 20 M88 <br /> � o <br />