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,y CP(-, TO: CE OF REVENUE AND RECOVERY • <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> AT <br /> 026000.018/8/0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> EAST BAY MUNICIPAL UTILITY DIST- <br /> C/O NAME GUARANTOR SSN <br /> EAST BAY MUNICIPAL UTILITY DIST <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> EAST BAY MUNICIPAL UTILITY DIST-STOCKTON CENTER P.O.BOX 24055-MS704 OAKLAND CA 209-946-8043 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> P.O. BOX 24055 OAKLAND CA 94623-1055 510-835-3000 <br /> USER REFERENCE NO. BILL STA CYCLE STATUS DATE BM CBMC INT I MONTHLY PAY AMT 1�PROD <br /> RM DATE <br /> 4189 HAZMAT 7/27/03 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> nnn <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. `r vDESCRIPTION AMOUNT <br /> NO <br /> 230 026000.0 2003 Hmmp Annual Fee $240.00 <br /> 13Chems @ $15.00 $195.00 <br /> 10% Late Charge $43.50 <br /> TOTAL $478.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> EAST BAY MUNICIPAL UTILITY DIST-STOCKTON CENTER 209-946-8043 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1804 W MAIN ST STOCKTON CA 95203 <br /> speusE CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO, DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> EAST BAY MUNICIPAL UTILITY DIST-STOCKTON CENTER 209-946-8043 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1804 W MAIN ST STOCKTON CA 95203 <br /> PREPARED BY CHECKED BYC / j DATE <br /> At/, 4lL J''E K 8/8/03 COL. 20 1X88 <br />