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CPG # TO: OFFICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL C <br /> /�"\ py ACCOUNT NO. DEPT. NO. REFERRAL U <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 DATEI BMd CBM INT MONTHLY PAY AMT I PYMT PR B <br /> 3329 HAZMAT 1.3/20/1.0 <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 CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> mn <br /> 230 026000.0 Sm Hw Gen <5 Tons/yr $213.00 <br /> 2010 Hazmat Fee $100.00 <br /> State Surcharge Fee $24.00 <br /> Electronic Surcharge Fee $25.00 <br /> Hazmat Penalty Fee $10.00 <br /> Permit Fee Penalty $213.00 <br /> TOTAL $585.00 <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 /> SPOUS& CO—OWNER <br /> AST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I I 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 STO T CA 1 95202 <br /> PREPARED BY CHECKED BY IRATE 6f/Q c0L. 20 lareel <br />