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CPG # TO: �"FICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL ropy <br /> ACCOUNT NO. DEPT. NO. REFERRAL <br /> nATC <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> JF DONALDSON & SONS INC <br /> C/O NAME GUARANTOR SSN <br /> JAMES F DONALDSON <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 240 N HUNTER ST STOCKTON CA 95202 209-466-4393 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 209-466-4393 <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BM CBM INT MONTHLY PAY AMT ni PYMT <br /> 3329 HAZMAT 1.3/1 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT. NO. DESCRIPTION AMOUNT HARGE DEPT. NO. DESCRIPTION AMOUNT <br /> Kin <br /> 230 026000.0 2009 Hmmp Annual Fee $70.00 <br /> 2 Chems @ $15.00 Each $30.00 <br /> 10% Late Charge $10.00 <br /> State Service Fee $24.00 <br /> Sm Hw Gen<5 Tons/yr $213.00 <br /> Permit Fee Penalty $213.00 <br /> TOTAL $560.00 <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 /> JF DONALDSON &SONS INC 209-466-4393 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 240 N HUNTER ST STOCKTON CA 95202 <br /> SPOUSE- CO-OWNER <br /> ST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> JF DONALDSON &SONS INC 209-466-4393 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 240 N HUNTER ST STOCKTON CA 95202 <br /> PREPARED BY _ CHECKED BY DATE 9{.29/pp COL. M(3/88) <br />