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CPG # TO: �FICE OF REVENUE AND RECOVERY • <br /> ACCOUNT TRANSMITTAL COPY <br /> ACCOUNT NO. DEPT. NO. REFERR4;LA <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLEST - AKA - FIRST MI TITLE <br /> NORTH RIVER MILLWORK <br /> C/O NAME <br /> WILLIAM HUBER <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> NORTH RIVER MILLWORK P.O. BOX 5864 AUBURN CA 95604 530-305-7660 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> PO BOX 5864 AUBURN CA 95604 530-305-7660 <br /> USER REFERENCE NO. BILL ISTAT CYCLE STATUS DATE BMd CBMC INT MONTHLY PAY AMT PYMT PROS <br /> 14597 HAZMAT 11/15/11 <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 /> 230 042000.0 2011 Hazmat Fee $300.00 380 042000.0 <br /> 230 042000.0 Hazmat Penalty Fee $30.00 380 042000.0 <br /> 380 042000.0 380 042000.0 <br /> 380 042000.0 380 042000.0 <br /> 380 042000.0 380 042000.0 <br /> 380 042000.0 380 042000.0 <br /> 380 042000.0 380 042000.0 <br /> TOTAL $330.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME <br /> EMPLOYER PHONE NO <br /> NORTH RIVER MILLWORK 530-305-7660 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 735 S SUTTER ST STOCKTON CA 95203 <br /> CO-OWNER <br /> AST FIRST MI TITLE SOC SEC NO. I DOB DR LIC NO AUTO LIC NO <br /> I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> NORTH RIVER MILLWORK 530-305-7660 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 735 S SUTTER ST STO TON CA 95203 <br /> REPARED BY _ CHECKED BY JDATE Coy. 20 (3/m) <br />