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T0: _ FILE OF REVENUE AND RECOVERY COPY <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT.NO. REFERRAL DATE <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> GARCIA'S AUTO REPAIR&TOW <br /> C/O NAME GUARANTOR SSN <br /> GARCIA LUNA EVARISTO <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 982 E WATERLOO RD STOCKTON CA 95205 209-751-4044 <br /> RESIDENCE STREET CITY ST ZIPCODE AREA PHONE NO. <br /> 1609 SUNNYSIDE AVE STOCKTON CA 95205 209-465-9665 <br /> USER REFERENCE NO. BILL STA CYCLE STATUS DATE BMd CBMC INT MONTHLY PAY AMT YM' PRU13 <br /> 11 P11 11T1 I TERM <br /> 12197 HAZMAT 3/15/08 <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 /> NONO <br /> 230 026000.0 2008 Hmmp Annual Fee $70.00 <br /> 1 Chem @ $15.00 $15.00 <br /> 10% Late Charge $8.50 <br /> State Service Fee $24.00 <br /> TOTAL $117.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> GARCIA'S AUTO REPAIR&TOW 209-751-4044 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 982 E WATERLOO RD STOCKTON CA 95205 <br /> �B CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> GARCIA'S AUTO REPAIR&TOW 209-751-4044 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 982 E WATERLOO RD STOCKTON CA 95205 <br /> PREPARED BY CHECKED B ]DATE <br /> COL 20 lyse <br />