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CP #, TOI OFFICE OF THE COLL0R <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT. NO. DAT <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> IBRAGANTV I I I I I I I KEVIN <br /> C/O NAME GUARANTOR SSN <br /> 1 1 1 1 1 <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> IP9 B 0 5 I I I I I I I I I I I I I I I I STQIQKTQNIjI I C Q 1944 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO, <br /> 4 40 M IN IST I I I I I I I I I I I I I I I I I I I SITQCKTqN, I I I I I I CA, 2 <br /> USER REFERENCE NO. BILLSTA CLE STATUS DATE M M INT MONTHLY PAY AMT PYMT PROS ER <br /> �m DUE GATE TERM DATE <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RE oIO IOENT USER REFERENCE NO/NARRATIVE <br /> I I I I <br /> SERVICE DATE: oATEOF ADMITS HE OWES FEES. WANTS TO GO TO COLLECTIONS <br /> START STOP MED RECNO CHANGE WITH A PAYMENT PLAN TO PAY IT OFF IN MONTHLY <br /> INSTALLMENTS <br /> '.ARG DESCRIPTION AMOUNT HNRDGE DEPT NO DESCRIPTION <br /> NO UNDERGROUND TANK FEES <br /> 1991 FEES 51A 1 i QO I I I I <br /> 1991 PENALTY B101 i <br /> 11992 FEESI I <br /> 1992 PENALTY 5101 00 <br /> I I I I I I II I I <br /> I I 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I 1 1 1 1 1 1 <br /> I I I I I I I I II <br /> TOTAL 12040 nn <br /> GUARANTOR w� <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> I I I I I I I I I I I I I I I I I S 1 <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 1 1 1 1 1 1 1 I I I <br /> SPOUSE <br /> LAST FIRST MI TITLE I SOC SEC NO. I DOB I OR LIC NO AUTO LIC NO <br /> I <br /> I I I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> PREPARED BY ECKED BY TE <br /> ® COL. 20 WSW <br />