Laserfiche WebLink
CPG # T0: DICE OF REVENUE AND RECOVERY 'o COPY <br /> ACCOUN'P TRANSMITTAL <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> DATE 026000.0 <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 /> B&B EQUIPMENT CO 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 /> PMB <br /> USER REFERENCE NO. I BILL STA CYCLE STATUS DATE BM CBMC INT I MONTHLY PAY AMT <br /> 6622 HAZMAT I I I I I I I I I I I I I I I I I I 1 113/15/08 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> DOB <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 1 026000.0 2008 Hmmp Annual Fee $240.00 Service Charge <br /> 1 Chem @ $15.00 Each $15.00 1 1 1 1 1 1 Penalty $14.70 <br /> 10% Late Charge $25.50 <br /> State Service Fee $24.00 <br /> Sm Hz Gen <5 Tons/yr $213.00 <br /> Permit Fee Penalty $213.00 <br /> 306 - Non-compliance $49.00 <br /> TOTAL $794.20 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIPCODE <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 /> ' <br /> �R CO-OWNER <br /> MI TITLE <br /> LAST FIRST 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 /> PREPARED B I CHECKED B DAT . COL. 20 (388 <br /> -tiJ, nGS7� <br />