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TO: OFFICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL le ^U [DplyACCOUNT NO. DEPT.NO. REFERRAL <br /> 0260 0000 9/21/01 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> SPEE DEE OIL CHANGE AND TUNE-UP <br /> C/O NAME GUARANTOR SSN <br /> GREG MCPHERSON <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 245 W LOUISE AVE MANTECA CA 95336 209-239-8107 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 1057 ELEANOR LN MANTECA CA 95337 209-239-8107 <br /> USER REFERENCE NO. BILL STAd CYCLE STATUS DATE BMd CBMC INT I MONTHLY PAY AMT <br /> 6516 HAZMAT I I I I I I I I I I I I I I I I I I 1 8/22/01 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> nnp <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 10260 0000 2001 Hmmp Annual Fee $240.00 Business Owners: <br /> 3 Chems @ $15.00 Each $45.00 Ureg & Rod <br /> mepheFsan <br /> 10% Late Fee $28.50 <br /> Previous Referral: <br /> TOTAL $313.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> SPEE DEE OIL CHANGE AND TUNE-UP 209-239-8107 <br /> EMPLOYER STREET F CITY STZIP CODE <br /> 245W LOUISE AVE MANTECA CA 95336 <br /> SPOUSE CO—OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> MCPHERSON ROD <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> SPIRE DEE OIL CHANGE AND TUNE-UP 209-239-8107 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 245 W LOUISE AVE MANTECA CA 95336 <br /> PREPARED o CHECK Y DATE 9/21/01 <br /> coy. za lyeel <br />