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. CPG # T0: OFFICE OF REVENUE AND RECOVERY .ACCOUNT TRANSMITTALCopy <br /> ACCOUNT NO. DEPT. NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> ADVANCED PACKAGING & <br /> C/O NAME GUARANTOR SSN <br /> JOSEPHJENNARO <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> ADVANCED PACKAGING & DISTRIBUTION SPECIALIST INC P.O. BOX 2246 MANTECA CA 95336-1161 209-824-6791, 209 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 600 SPRECKELS AVE MANTECA CA 95336 209-825-7939 <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BMd CBMC INT MONTHLY PAY AMT PYMT PROS <br /> 9831 HAZMAT 1.3/20/1.1 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT. NO. DESCRIPTION AMOUNT HARGE DEPT. NO. DESCRIPTION AMOUNT <br /> 230 026000.0 2011 Hazmat Fee $315.00 <br /> State Surcharge Fee $24.00 <br /> Electronic Surcharge $25.00 <br /> Hazmat Penalty Fee $31.50 <br /> TOTAL $395.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> ADVANCED PACKAGING & DISTRIBUTION SPECIALIST INC 209-824_6791: 209 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 600 S SPRECKELS AVE MANTECA CA 95336 <br /> S OUS& CO—OWNER <br /> AST FIRST MI TITLE SOC SEC NO, DOB DR LIC NO AUTO LIC NO <br /> I 1 <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> ADVANCED PACKAGING & DISTRIBUTION SPECIALIST INC --- --4-6791, 209 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 600 S SPRECKELS AVE MANTECA CA 95336 <br /> PREPARED BY CHECKED BY DATE- !�. coy. 20 Isreal <br />