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CPG # TO: "-FICE OF REVENUE AND RECOVERY COPY ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT. NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> STAR BUILDING SYSTEMS <br /> C/O NAME GUARANTOR SSN <br /> ROBERTSON-CECO <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> STAR BUILDING SYSTEMS P.O. BOX 1376 LOCKEFORD CA 95237-1376 209-727-5504 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 2400 HIGHWAY 45 NORTH COLUMBUS MS 39703 (662)328-6722 <br /> 11 T FROB <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BM CBM INT MONTHLY PAY AMT <br /> 2976 HAZMAT3/15/09 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLERECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE.- DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGEDEPT. NO. DESCRIPTION AMOUNT HARGE DEPT. NO. DESCRIPTION AMOUNT <br /> 230 026000.0 2009 Hmmp Annual Fee $240.00 <br /> 12 Chems @ $15.00 Each $180.00 <br /> 10% Late Charge $42.00 <br /> State Service Fee $24.00 <br /> Gen 50<250 Tons Permit $2149.00 <br /> Permit Fee Penalty $2149.00 <br /> TOTAL 1 $4784.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> STAR BUILDING SYSTEMS 209-727-5504 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 12101 E BRANDT RD LOCKEFORD CA 95237 <br /> SPOUSE CO—OWNER <br /> ST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> 1 I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> STAR BUILDING SYSTEMS 209-727-5504 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 12101 E BRANDT RD LOCKEFORD CA 95237 <br /> PREPARED BY CHECKED BY 1DATE 6 Lao b q GOL. 20 Ia�eel <br /> t / <br />