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I <br /> CPG # TO: DICE OF REVENUE AND RECOVERY 41 <br /> ACCOUNT TRANSMITTAL Co <br /> ) <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> CALIFORNIA SPRAY DRY CO <br /> C/O NAME GUARANTOR SSN <br /> MODESTO TALLOW CO <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> CALIFORNIA SPRAY DRY CO P.O. BOX 5035 STOCKTON CA 95215-0035 209-644-8219 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 925 CROWS LANDING RD,P.O. BOX 1036 MODESTO CA 95353 209-522-7224 <br /> USER REFERENCE NO. BILL STA CYCLE STATUS DATE BMd CBMC INT MONTHLY PAY AMT <br /> FRM DATE <br /> 2491 HAZMAT 4115107 <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 <br /> NO DEPT.NO. DESCRIPTION AMOUNT <br /> 230 026000.0 Hmmp 10% Late Charge $61.50 <br /> TOTAL $61.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> CALIFORNIA SPRAY DRY CO 209-644-8219 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 4221 E MARIPOSA RD STOCKTON CA 95215 <br /> 9FeBSE} CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> CALIFORNIA SPRAY DRY CO 209-644-8219 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 4221 E MARIPOSA RD STOCKTO CA 95215 <br /> PREPARED BY 1 CHECKED BY DATE //D/o7 Coy. 20 (area <br />