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CYC; # TO: OCE OF REVENUE AND RECOVERY ! ,,,+++^��� O <br /> ACCOUNT TRANSMITTAL Pr <br /> ACCOUNT NO. DEPT.NO. REFERRAL nAT <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 ZIPCODE 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 /> USER REFERENCE NO. I BILLI STAA CYCLEI STATUS DATE BM CBMCJ INT I MONTHLY PAY AMT <br /> 1950 HAZMAT I I I I I I I I I I I I I I I I I I I 1 1/24/05 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> DOB <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE <br /> NO DEPT.NO. DESCRIPTION AMOUNT <br /> 230 026000.0 2005 Hmmp Annual Fee $240.00 Sm Hw Gen<5 Tons $100.00 <br /> 1 Chem @ $15.00 $15.00 1 1 1 1 1 1 1 Hermiee Penalty $100.00 <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 $904.50 <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 ST ZIP CODE <br /> 2050 E SIKORSKY STOCKTON CA 95206 <br /> �9FEiE35E CO-OWNER <br /> LAST FIRST MI TITLEJ SOC SEC NO. I 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 B I CHECKED BY DATE COL. 20 (3188 <br /> A uJ <br />