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CPG # r TO: OF* OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL Copy <br /> ACCOUNT NO. DEPT.NO. REFERTF 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> ARTISTIC ORNAMENTAL IRON WORKS <br /> C/O NAME GUARANTOR SSN <br /> ALEX&ERNESTO GONZALEZ <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 2228 N WILSON WAY STOCKTON CA 95205 209-598-7700 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 1636 S AMERICAN ST STOCKTON CA 95206 209-465-7725 <br /> USER REFERENCE NO. BILL STAT] CYCLE STATUS DATE BMd CBMCI INT IMONTHLY PAY AMTHHUB <br /> 2036 HAZNIAT I I I I I I I I I I I I I I I I I I I j 4/15/06 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> IIIIIIII <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE <br /> NO DEPT.NO. DESCRIPTION AMOUNT <br /> 230 026000.0 2006 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 F <br /> Sm Hw Gen <5 Tons $200.00 <br /> Permit Fee Penalty $200.00 <br /> TOTAL $737.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> ARTISTIC ORNAMENTAL IRON WORKS 209-598-7700 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2228 N WILSON WAY STOCKTON CA 95205 <br /> SPeUM CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> GONZALES ERNESTO&ALEX <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> ARTISTIC ORNAMENTAL IRON WORKS 209-598-7700 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2228N WILSON WAY STOCKTON CA 95205 <br /> PREPARED BY, l CHECKED BY JDATE .,2 n 6 COL. 20 088 <br />