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TO: OFFICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL �O py <br /> ACCOUNTNO. DEPT.NO. REFERRAL <br /> DATE <br /> 0260 0000 9/21/01 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> B&B EQUIPMENT CO <br /> C/O NAME GUARANTOR SSN <br /> RICHARD O BYWATER <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> P.O.BOX 31600 STOCKTON CA 95213-1600 209-942-3131 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> P.O. BOX 31600 STOCKTON CA 95213-1600 209-942-3131 <br /> USER REFERENCE NO. BILL STAI CYCLE STATUS DATE BMd CBMC INT MONTHLY PAY AMT <br /> IF DAT TERM DATE <br /> 6622 HAZMAT 7/6/01 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> nnR <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 0260 0000 2000 Hmmp Annual Fee $240.00 Business Owner: <br /> 3 Chems @ $15.00 Each $45.00 1 1 1 1 1 1 1 RichardBywater <br /> 10% Late Fee $28.50 <br /> 2001 Hmmp Annual Fee $240.00 Previous Referrals: <br /> 3 Chems @ $15.00 Each $45.00 8/7/98-unpaid <br /> 10% Late Fee $28.50 6/5/x5-00552232818-00 <br /> TOTAL $627.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY STZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> B&B EQUIPMENT CO 209-942-3131 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 3132 FARMINGTON RD STOCKTON CA 1 95205 <br /> SPOUSE CO—OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> B&B EQUIPMENT CO 209-942-3131 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 3132 FARMINGTON RD STOCKTON CA 95205 <br /> PREPARE CHECK DAYDATE 9/21/01 <br /> COL. 20 (3/88) <br />