Laserfiche WebLink
CPG # TO: OFFICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT. NO. REFERRAL C (DMDY <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> STOCKTON CITY OF C/O RICHARD <br /> C/O NAME GUARANTOR SSN <br /> CITY OF STOCKTON <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> STOCKTON CITY OF C/O RICHARD ELLIS 400 E MAIN ST. STE 127 ST STOCKTON CA 95202 209-946-9626 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 400 EAST MAIN STREET STOCKTON CA 95202 209-946-9626 <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BM CBM INT MONTHLY PAY AMT I PYMT PROB <br /> 13619 HAZMAT 7/15/09 <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 HARGE DEPT. NO. DESCRIPTION AMOUNT <br /> 230 026000.0 2007- 2009 Annual <br /> Hmmp Fee $720.00 <br /> 2 Chems @ $15.00 <br /> Each Year $90.00 <br /> 10% Late Charge $81.00 / <br /> State Surcharge Fee $24.00 <br /> TAL $915.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO ` <br /> PRIOR STREET CITYST ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> STOCKTON CITY OF C/O RICHARD ELLIS 209-946-9626 <br /> EMPLOYER STREET CITY ST I ZIP CODE <br /> 400 E MAIN ST STOCKTON CA 95202 <br /> SPOUSE, CO—OWNER <br /> AST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> 1 I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> STOCKTON CITY OF C/O RICHARD ELLIS 209-946-9626 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 400 E MAIN ST STOCKTON b - CA 95202 <br /> PREPARED BY i i CHECKED BY ATE COL. 20 (3IB8) <br /> l <br />