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CPG TO: OFFICE OF THE COLLECTOR <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT. NO. DAT - <br /> 1 1 `0 <br /> e LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> Y <br /> C/O NAME GUARANTOR SSN <br /> I I I I <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 705 I SL5 5` <br /> -19 190 MIT I <br /> RESIDENCE STREET CITY ST ZIP CODE JAREA PHONE NO. <br /> USER REFERENCE NO. BILL STA CLE STATUS PATE M CB INT MONTHLY PAY AMT OLE DATE TERM DATE <br /> 7 <br /> 1 1 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIIPBENT USER REFERENCE NO/NARRATIVE <br /> i I I I <br /> SERVICE DATE: DATE OF uJ 'S` TO APPMvia OMMY RE .�. & lTmn. <br /> START STOP MED REC NO CRARGE Q. mm <br /> AIM 00M Tanks were never registered with us, <br /> therefore thea are liable for all back fees and penalties <br /> :HARGE <br /> DESCRIPTION AMOUNT MARGE DEPT NO <br /> NO NO DESCRIPTION <br /> 1988-1992 <br /> I I I Penalties 1 11280 b0 <br /> I I I I I i t I I <br /> I I I I i l l I I I I I I I 1 1 1 1 1 1 I l l l l j l <br /> I I I II I I <br /> I I I I I I <br /> I I I I I I I II I I I <br /> K� <br /> 1 <br /> TOTAL <br /> GUARANTOR <br /> DOB OR LC NO IAUTO LIC NO I �O <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I <br /> SPOUSE <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME JEMPLOYER PHONE NO <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> I <br /> PREPARED BYL-L NF D Y DATIF <br /> '//�'" ® COL. 2013/851 <br />