Laserfiche WebLink
CPG # ' I TO: O*E OF REVENUE AND RECOVERY • <br /> ACCOUNT TRANSMITTAL COPY <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> EDDIE BANDINI <br /> C/O NAME GUARANTOR SSN <br /> EDDIE BANDINI <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 2201 W WASHINGTON ST BOX 4STOCKTON CA 95203 209-463-5516 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 2201 W WASHINGTON STREET BOX 4 STCOKTON CA 95203 209-463-5516 <br /> USER REFERENCE NO. IBILLI STATI CYCLE STATUS DATEI BM CBMCI INT I MONTHLY PAY AMT <br /> nj IF DATE TERM DATE <br /> 10053 HAZMAT 4115/06 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> DOB <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NO <br /> 230 026000.0 2006 10% Late Charge $25.50 <br /> TOTAL $25.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> EDDIE BANDINI 209-463-5516 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2201 W WASHINGTON ST BOX 4 STOCKTON CA 95203 <br /> &PeUSE CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> EDDIE BANDINI 209-463-5516 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2201 W WASHINGTON ST BOX 4 STOCKTON CA 95203 <br /> PREPARED BY I CHECKED BY JDATE 61112 7 ) COL. 20 (3188 <br />