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TOP OFFICE OF REVENUE & RECOVERY <br /> ch(;: ACCOUNT TRANSMITTAL <br /> ACCOUNT NO DEPT NO REFERRAL DATE <br /> 0420000 <br /> LAST- -GUARANTOR- FIRST MI LAST AKA FIRST MI <br /> Eckelman Frank <br /> C/O NAME SSN/FED# DR. LIC. NO. <br /> Stockton Tool Rental <br /> MAILING STREET CITY ST ZIP AREA PHONE# <br /> 7555 Pacific Ave Stockton CA 95207 <br /> FACILITY ADDRESS CITY ST <br /> 7555 Pacific Ave Stockton CA 95207 <br /> USER REFERENCE NO <br /> Invoice#238112 <br /> COMMENTS: <br /> SERVICE DATE: <br /> START: 2/1/13 STOP: 2/1/13 <br /> CHARGE <br /> OE <br /> DEPT NO DESCRIPTION AMOUNT ON NO <br /> NODEPT NO DESCRIPTION AMOUNT <br /> Inv#238112 <br /> 230 2013 Haz Mat Fee 85.00 <br /> 380 State Surcharge Fee 35.00 <br /> 230 Haz Mat Penalty Fee 8.50 <br /> TOTAL 128.50 <br /> EMPLOYER NAME/SOURCE OF INCOME: EMPLOYER PHONE# <br /> EMPLOYER STREET CITY ST ZIP <br /> PREPARED BY: DATE: 6-ho/13 <br /> REVIEWED BY: DATE: <br />