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Ppr g TC: __ ?ICE OF REVENUE AND RECOVERY ...� <br /> ACCOUNT TRANSMITTAL COPY <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> CEVA LOGISTICS <br /> C/O NAME GUARANTOR SSN <br /> CEVA LOGISTICS <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 931 RUNWAY DR STOCKTON CA 95206 209-765-1076 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 10751 DEERWOOD PARK BLVD. JACKSONVILLE FL 32203 209-943-3700 <br /> USER REFERENCE NO. IE31LLI STAI CYCLFJ STATUS DATEI BMd CBMC INT MONTHLY PAY AMT <br /> 13290 HAZMAT 3/15/08 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENTDOR USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2008 Hmmp Annual Fee $240.00 <br /> 8 Chems @ $15.00 Each $120.00 <br /> 10% Late Charge $36.00 <br /> State Service Fee $24.00 <br /> TOTAL $420.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> CEVA LOGISTICS 209-765-1076 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 931 RUNWAY DR STOCKTON CA 95206 <br /> $P9HffE CO—OWNER <br /> LAST FIRST MITITLE SOC SEC NO, DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> CEVA LOGISTICS 209-765-1076 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 931 RUNWAY DR STOCKTON CA 95206 <br /> PREPARED BY CHECKED B ', ' <br /> � DATE 30 X (i coy. zo rJ <br /> v 0 <br />