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CPG # TO: 'VICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL COPY <br /> ACCOUNT NO. DEPT.NO. REFERRnATFAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> ATI WINDOWS 11111 <br /> C/O NAME GUARANTOR SSN <br /> STEPHEN SCHWARTZ 11 <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> ATI WINDOWS 1455 COLUMBIA RIVERSIDE CA 92507 909-946-3697 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 1455 COLUMBIA RIVERSIDE CA 92507 909-946-3697 <br /> USER REFERENCE NO. I BILL STAA CYCLE STATUS DATE BMd CBMC INT I MONTHLY PAY AMT <br /> 11013 HAZMAT 3/15/08 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NOINARRATIVE <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 2008 Hmmp Annual Fee $240.00 <br /> 3 Chems @ $15.00 Each $45.00 <br /> 10% Late Charge $28.50 <br /> State Service Fee $24.00 <br /> I <br /> TOTAL $337.50 <br /> GUARANTOR 5 <br /> DOB DR LIC NO AUTO LIC NO <br /> \60 <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER"PHONEATI WINDOWS 909-946-369 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2244 WEST LN STOCKTON CA 1 95205 <br /> SPeUS } CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> ATI WINDOWS 909-946-3697X1000 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2244 WEST LN STOCKTON CA 95205 <br /> PREPARED BY CHECKED BY - ATE �,Q �� COL 90 ON <br />