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-PG_#, TO: O E OF REVENUE AND RECOVERY <br /> TRANSMITTAL Fly ACCOUNT NO. DEPT. NO. REFERRAL 026000.0 00 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> UNION PACIFIC RAILROAD <br /> C/O NAME GUARANTOR SSN <br /> UNION PACIFIC RAILROAD <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> UNION PACIFIC RAILROAD 1400 DOUGLAS ST MS 1030 OMAHA NE 68179-1030 402 544 2453 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 1400 DOUGLAS STREET, MS 1030 OMAHA NE 68179-1030 402 544 2453 <br /> YM <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BM CBM IN MONTHLY PAY AMT PROB <br /> 7443 HAZMAT 3/15/12 <br /> LAST - RECIPIENT - FIRST MI TITLE -- <br /> RECIPIENT 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 /> pip <br /> 230 042000.0 2012 Hazmat Fee $255.00 8P43009.01 <br /> 30 042 00 0 Hazmat Penalty Fee $25.50 8 04 00 .0 <br /> 8 42 00 0 i Sm Hw Gen <5 Tons/yr $213.00 Bq P43009.01 <br /> 8 0 2 00 0 Permit Fee Penalty $213.00 p8q <br /> 80 1 021QOOjO I State Surcharge Fee $24.00 p8q <br /> 80 1 0 2 90010 1 Electronic Surcharge Fee $25.00 p8q P44009.01 <br /> 80 1 0 2 00.p 11 �8q P43009.0, <br /> TOTAL $755.50 <br /> kRRANTQR <br /> nOR Dal IG NO At ITO 11 <br /> PRIOR STREET sTZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> UNION PACIFIC RAILROAD 402 544 2453 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 780 E 6TH ST TRACY CA 95376 <br /> ST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> UNION PACIFIC RAILROAD 402 544 2453 <br /> EMPLOYER STREET <br /> 780 E 6TH ST TRACY CA 95376 <br /> PRFPARpn / - <br /> 20 (3180) <br /> �// CHECKED BY DATE .I COL <br />