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CPO # TO: OFF OF REVENUE AND RECOVERY C <br /> I <br /> �M�CCOUNT TRANSMITTAL U <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> RONALD E MCNAIR HIGH SCHOOL <br /> C/O NAME GUARANTOR SSN <br /> LODI UNIFIED HIGH SCHOOL <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> RONALD E MCNAIR HIGH SCHOOL 1305 E VINE ST LODI CA 95240-3145 (209)331-7145 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 1305 EAST VINE STREET LODI CA 95240-3148 (209)331-7000 <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BMd CBMd IN MONTHLY PAY AMT P MT P <br /> 13492 HAZMAT 7/15/08 <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 /> CHARGE DEPT.NO I DESCRIPTION AMOUNT HARGE DEPT.NO. DESCRIPTION AMOUNT <br /> 230 026000.0 2006-2008 Hmmp <br /> Annual Fee $720.00 <br /> 4 Chems @ $15.00 <br /> Each Year $180.00 <br /> 10%Late Charge $90.00 <br /> State Surcharge Fee $24.00 <br /> TOTAL 1 $1014.00 <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 /> RONALD E MCNAIR HIGH SCHOOL (209)331-7145 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 9550 E MCNAIR WAY STOCKTON CA 95210 <br /> QPQ; CO-OWNER <br /> ST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> RONALD E MCNAIR HIGH SCHOOL (209)331-7145 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 9550 E MCNAIR WAY STOCKTON I CA 95210 <br /> REPARED BY <br /> CHECKED B DATE / L. zo(apse) <br /> / <br /> v <br />