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CPG # TO: DICE OF REVENUE AND RECOVERY • <br /> ACCOUNT TRANSMITTAL Copy <br /> nATF <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> ROLLING FRITO LAY SALES <br /> C/O NAME GUARANTOR SSN <br /> FRITO LAY INC <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> ROLLING FRITO LAY SALES 4029 LECKRON RD MODESTO CA 95357 209-544-5427 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 7701 LEGACY DR PLANO TX 75024 972-334-7000 <br /> USER REFERENCE NO. BILLI STAJ CYCLEI STATUS DATE BM CBM C INT MONTHLY PAY AMT <br /> 9579 HAZMAT I I LI I I I 13/15/08 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> noR <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONn <br /> 230 026000.0 2008 Hmmp Annual Fee $240.00 <br /> 6 Chems @ $15.00 Each $90.00 <br /> 10% Late Charge $33.00 <br /> State Service Fee $24.00 <br /> Sm Hw Gen <5 Tons/yr $213.00 <br /> Permit Fee Penalty $213.00 <br /> TOTAL $813.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> ROLLING FRITO LAY SALES 209-544-5427 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1190 SPRECKELS RD MANTECA CA 95336 <br /> 8peb%SB CO-OWNER <br /> LAST FIRST MI TITLEJ SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> ROLLING FRITO LAY SALES 209-544-5427 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1190 SPRECKELS RD MANTECA CA 95336 <br /> PREPARED B I CHECKED BY TEL I � O� Col.. 201(aM,888 <br />