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CPG # TO: ICE OF REVENUE AND RECOVERY <br /> ~ ACCOUNT TRANSMITTAL <br /> RGUARANTOR <br /> . DEPT.NO. REFERRAL <br /> nATP <br /> 026000.0 <br /> R - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> KING INC GUARANTOR SSNCKING INC <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> SIERRA HILLS PACKING INC P.O.BOX 55096 STOCKTON CA 95205 209-931-5157 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> P.O. BOX 55096 STOCKTON CA 95205 209-931-5157 <br /> USER REFERENCE NO. BILLSTAA CYCLE STATUS DATE BMd CBMC INT MONTHLY PAY AMTMT PA= <br /> 5324 HAZMAT 3/15/06 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> nnR <br /> SERVICE DATE: DATE OF O D <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2006 Hmmp Annual Fee $240.00 <br /> 19 Chems @ $15.00 $285.00 <br /> 10% Late Charge $52.50 <br /> State Surcharge Fee $24.00 <br /> Cal Arp State Fee $270.00 vp <br /> Ehd Legal - Action up <br /> Investigation $46.50 <br /> TOTAL $918.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> SIERRA HILLS PACKING INC 209-931-5157 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 4505NJACK TONE RD STOCKTON I CA 95215 <br /> SpeUBE CO-OWNER <br /> LAST FIRST MI TITLEJ SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> SIERRA HILLS PACKING INC 209-931-5157 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 4505 N JACK TONE RD STOCKTON CA 95215 <br /> REPARED I CHECK COL. 20 (988 <br />