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CPG # r TO: O E OF REVENUE AND RECOVERY ACCOUNT TRANSMITTAL opy <br /> ACCOUNT NO. DEPT.NO. DATEREFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> INLAND FLYING SVC <br /> C/O NAME GUARANTOR SSN <br /> WALTER CHEERS <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 2050 E SIKORSKY STOCKTON CA 95206 209-982-1102 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 209-982-1102 <br /> MI <br /> USER REFERENCE NO. I BILL STA CYCLE STATUS DATE BM CBMC INT MONTHLY PAY AMT <br /> 1950 HAZMAT I I I I I I I I I I I I I I I I I I 1 4/15/06 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> DOR <br /> SERVICE DATE: DATE OF <br /> NO <br /> F23 <br /> STOP MED REC NO CHARGE <br /> DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> 026000.0 2006 Hmmp Annual Fee $240.00 <br /> 1 Chem @ $15.00 $15.00 <br /> 10% Late Charge $25.50 <br /> State Service Fee $24.00 <br /> Sm Hz Gen <5 Tons/yr $200.00 <br /> Permit Fee Penalty $200.00 <br /> TOTAL $704.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> INLAND FLYING SVC 209-982-1102 <br /> EMPLOYER STREET CITY zlp ODE <br /> 2050E SIKORSKY STOCKTON CA 95206 <br /> Of4V60B CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> INLAND FLYING SVC 209-982-1102 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2050 E SIKORSKY STOCKTON CA 95206 <br /> PREPARED BY. /// CHECKED BYI ' / DATE o� COL. 20 1388 <br />