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CPG # <br />TO: OFFT&OF REVENUE AND RECOVERY <br />COUNT TRANSMITTAL <br />ACCOUNT NO. <br />DEPT. NO. <br />REFERRAL <br />"w \\ // <br />026000.0 <br />LAST - GUARANTOR - FIRST MI TITLE <br />LAST - AKA <br />- FIRST MI TITLE <br />HD- SUPPLY DISTRIBUTION SERVICES <br />C/O NAME <br />GUARANTOR SSN <br />HD SUPPLY INC <br />MAILING STREET <br />CITY ST <br />ZIP CODE AREA PHONE NO. <br />HD SUPPLY DISTRIBUTION SERVICES OB0005 3100 <br />^RESIDENCE <br />CUMBERLAND SUITE 1700 BLVD ATLANTA GA 770-852-9073 <br />STREET <br />CITY ST <br />ZIP CODE AREA PHONE NO. <br />3100 CUMBERLAND BLVD STE.1700 <br />ATLANTA GA <br />30339 770-852-9000 <br />USER REFERENCE NO. <br />BILL <br />TAT <br />CYCLE <br />STATUS DATE <br />BMd <br />CBM <br />I <br />MONTHLY PAY AMT <br />PYMT <br />""UB <br />13542 HAZMAT <br />7/15/08 <br />CHARGES <br />LAST - RECIPIENT -FIRST MI <br />TITLE RECIPIENT <br />USER REFERENCE NOINARRATIVE <br />ATE: <br />STARTSTOP D REC NO <br />SE!DEPT. <br />DATE OF <br />CHARGE <br />CHARGENO. <br />DESCRIPTION <br />;AnnualFee <br />AMOUNT <br />HARGE DEPT.NO. <br />DESCRIPTIO230 <br />0.0 <br />7 & 2008 Hmmp <br />$480.00 <br />2 Chems Q $15.00 <br />lk <br />in lam <br />Each Year <br />$60.00 <br />low <br />10% Late Charge <br />$54.00 <br />State Surcharge Fee <br />$24.00 <br />TOTAL <br />$618.00 <br />GUARANTOR <br />DOB DR LIC NO AUTO LIC NO <br />PRIOR STREET <br />CITY <br />ST <br />ZIP CODE <br />EMPLOYER NAME <br />EMPLOYER PHONE NO <br />HD SUPPLY DISTRIBUTION SERVICES CB0005 770-852-9073 <br />EMPLOYER STREET <br />CITY <br />ST <br />ZIP CODE <br />2055 INDUSTRIAL DR STOCKTON <br />CA <br />95206 <br />Spo 99 CO-OWNER <br />ST FIRST MI TITLE SOC SEC NO. DOB <br />DR LIC NO AUTO LIC NO <br />EMPLOYER NAME <br />HD SUPPLY DISTRIBUTION SERVICES CB0005 <br />EMPLOYER PHONE NO <br />770-852-9073 <br />EMPLOYER STREET <br />CITY <br />ST <br />ZIP CODE <br />2055 INDUSTRIAL DR STOCKTON <br />CA <br />DATE —i <br />95206 <br />COL. M <br />l3/ael <br />