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CPG r' T0: ,'FICE OF REVENUE AND RECOVERY O PY <br /> "�— ACCOUNT TRANSMITTAL <br /> ACCOUNTNO. DEPT.NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLELAST - AKA - FIRST MI TITLE <br /> HUFFCOINC <br /> 0/0 NAME GUARANTOR SSN <br /> CHARLES DALE HUFF <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 4447S AIRPORT WAY STOCKTON CA 95206 209-983-4930 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 3541 LAKE FRONT CIR STOCKTON CA 95209 209-983-4930 <br /> USER REFERENCE NO. BILL STA CYCLE STATUS DATE BM CBMC INT MONTHLY PAY AMT <br /> )F DAT TERM DATE <br /> 10153 HAZMAT j 3/15/08 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> nnn <br /> SERVICE DATE: DATE OF <br /> START STOPMED REC NO CHARGE <br /> CHARGE DEPT. NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. -- DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2008 Hmmp Annual Fee $240.00 <br /> 6 Chems @ $15.00 Each $90.00 <br /> 10% Late Charge $33.00 <br /> State Service Fee $24.00 <br /> TOTAL $387.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> HUFFCOINC 209-983-4930 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 4447S AIRPORT WAY STOCKTON CA 95206 <br /> 9£6G6E' CO—OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> HUFFCOINC 209-983-4930 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 4447S AIRPORT WAY STOCKTON CA 95206 <br /> PREPARED BYL ,/�, CHECKED BYE TE �3C/�� Coy. 20 lyse <br />