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CPO,# TO: OFFICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL topy <br /> f REFERRAL <br /> ACCOUNT NO. DEPT. NO. <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE <br /> LAST - AKA - FIRST MI TITLE <br /> CHARTER COMMUNICATIONS <br /> GUARANTOR SSN <br /> C/O NAME <br /> CHARTER COMMUNICATIONS <br /> CITY ST ZIP CODE AREA PHONE NO. <br /> MAILING STREET <br /> CHARTER COMMUNICATIONS 9335 PROTOTYPE DR RENO NV 89521 <br /> 775-850-1220 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> RENO NV 89521 775-850-1200 <br /> 9335 PROTOTYPE DR <br /> PYMT P OB <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BM CBM IN MONTHLY PAY AMT n,IF nATF IE@M DATE <br /> 3/20/10 <br /> 13025 HAZMAT <br /> CHARGES <br /> LAST - RECIPIENT - FIRST <br /> MI TITLE RECIPIENT USER REFERENCE NOMARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGEDEPT. NO. DESCRIPTION AMOUNT HARGE DEPT. NO. DESCRIPTION AMOUNT <br /> 230 026000.0 2010 Hazmat Fee $85.00 <br /> State Surcharge Fee $24.00 <br /> Electronic Surcharge $25.00 <br /> Hazmat Penalty Fee $8.50 <br /> TOTAL $142.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIG NO <br /> CITY ST ZIP CODE <br /> PRIOR STREET <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> CHARTER COMMUNICATIONS 775-850-1220 <br /> EMPLOYER STREET <br /> CITY ST ZIP CODE <br /> CA 95320 <br /> 21051 S SEIDNER RD ESCALON <br /> SPOUSES CO-OWNER <br /> AST <br /> FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> CHARTER COMMUNICATIONS 775-850-1220 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 21051 S SEIDNER RDE A CA 95320 <br /> REPARED BY <br /> CHECKED BY DATE a�--/Q cow zo csreel <br />