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CPGf# TO: OFFICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL COPY <br /> ACCOUNT NO. DEPT.N0. REFERR <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> TRANSLOAD SERVICES(CLOSED) <br /> C/O NAME GUARANTOR SSN <br /> KINDER MORGAN INC <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> TRANSLOAD SERVICES(CLOSED) 162 E 26TH ST CHICAGO HTS IL 60411-4268 209-858-1965 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 500 DALLAS ST SUITE 1000 HOUSTON TX 77002 713-369-9460 <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BMd CBMd INT MONTHLY PAY AMT <br /> 13751 HAZMAT 3/15/12 <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF " <br /> STAR STOP MED REC NO CHARGE <br /> CHARGE DEPT. NO. DESCRIPTION AMOUNT CHARGE DEPT. NO. DES N AMOUNT <br /> 230 042000.0 2012 Hazmat Fee $85.00 8P43009.01am <br /> 30 014290010 1 Hazmat Penalty Fee $8.50 p8q <br /> p8q I q42900,0 State Surcharge Fee $24.00 p8q e. <br /> p8q I 0 2 Do 0 Electronic Surcharge Fee $25.00 8a400 <br /> 80 0 2 00 0 880 0 2 000 -L I 8 <br /> 80 0 2 00. 8 P43009.01 <br /> TOTAL 1 $142.50 <br /> GUARANTOR <br /> PRIOR STREET ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> TRANSLOAD SERVICES(CLOSED) 209-858-1965 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 15299 MCKINLEY RD LATHROP CA 95330 <br /> _j <br /> ST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> TRANSLOAD SERVICES (CLOSED) 209-858-1965 <br /> EMPLOYER STREET CITY ST 71PrnnF <br /> 15299 MCKINLEY RD LAjH P CA 95330 <br /> CHECKED BY ATE COL. 20 (ves) <br />