Laserfiche WebLink
CPG # TO: ICE OF REVENUE AND RECOVERY • <br /> ACCOUNT TRANSMITTAL COPY <br /> ACCOUNT NO. DEPT. NO. REFERRAL026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> TOTE-A-SHED INC <br /> C/O NAME GUARANTOR SSN <br /> TOTE-A-SHED INC <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> TOTE-A-SHED INC 348 PHELAN AVE SAN JOSE CA 95112 408-297-7906 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 408-297-7906 <br /> USER REFERENCE NO. BILI TAT CYCLE STATUS DATE11 BMd CBM INT MONTHLY PAY AT <br /> PYMT PROS <br /> 10958 HAZMAT <br /> 3/15/09 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NOINARRATIVE <br /> SERVICE DATE-. DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGEKin DEPT.NO. DESCRIPTION AMOUNT HARGE DEPT. NO. DESCRIPTION AMOUNT <br /> 230 026000.0 2009 Hmmp Annual Fee $240.00 <br /> 3 Chems @ $15.00 Each $45.00 <br /> 10% Late Charge $28.50 <br /> State Surcharge Fee $24.00 <br /> TOTAL $337.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> TOTE-A-SHED INC 408-297-7906 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2701 S H WY 99 STOCKTON CA 95205 <br /> SPOU-S& CO—OWNER <br /> AST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> TOTE-A-SHED INC 408-297-7906 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2701 S HWY 99 STOCKTON CA 95205 <br /> REPARED BY CHECKED BY JDATE L.� COL. 20 (3ree) <br />