Laserfiche WebLink
CPG # T0: OCE OF REVENUE AND RECOVERY • plf ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT.NO. REFERRAL (D <br /> C <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> HEINZ USA -TRACY DISTRIBUTION <br /> C/O NAME GUARANTOR SSN <br /> CASCADE LOGISTICS <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 857 STONEBRIDGE CT TRACY CA 95376 209-832-4269 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 857 STONEBRIDGE DRIVE TRACY CA 95376 209-832-4205 <br /> USER REFERENCE NO. I BILL SjAj CYCLE STATUS DATEI BMCI CBMC INT MONTHLY PAY AMT <br /> DATE TERM DATE <br /> 9528 HAZMAT 4/15/06 <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 CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2006 Hmmp Annual Fee $240.00 <br /> 5 Chems @ $15.00 $75.00 <br /> 10% Late Charge $31.50 <br /> State Service Fee $24.00 <br /> Sm Hz Gen <5 Tons/yr $200.00 <br /> Permit Fee Penalty $200.00 <br /> TOTAL $770.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> HEINZ USA -TRACY DISTRIBUTION CENTER 209-832-4269 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 857 STONEBRIDGE CT TRACY CA 95376 <br /> &PeUSH CO—OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. I DOB I DR LIC NO I AUTO LIC NO <br /> EMPLOYER NAME EMPLOYERPHONENO <br /> HEINZ USA -TRACY DISTRIBUTION CENTER 209-832-4269 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 857 STONEBRIDGE CT TRACY CA 95376 <br /> PREPARED BY •� I CHECKED BY JDATE ` / coy. zo (.918811 <br /> vC `o <br />