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CPG # TO: C TCE OF REVENUE AND RECOVERY <br /> Now, ACCOUNT TRANSMITTAL ./CO <br /> ACCOUNT NO. DEPT.NO. REFERRAL I�Jr ill( <br /> 026000.0 8/8/03 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> SPEE DEE OIL CHANGE&TUNE-UP <br /> C/O NAME GUARANTOR SSN <br /> GREG MCPHERSON <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 245 W LOUISE AVE MANTECA CA 95336 209-239-8107 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 1057 ELEANOR LN MANTECA CA 95337 209-239-8107 <br /> USER REFERENCE NO. BILL STA CYCLE STATUS DATE BM CBMC INT MONTHLY PAY AMT <br /> 6516 HAZMAT I I I I I I I I I I I I 1 11 7/27/03 <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 /> NO <br /> 230 026000.0 2003 Hmmp Annual Fee $240.00 Previously <br /> 3 Chems @ $15.00 Each $45.00 a erre <br /> 10% Late Charge $28.50 7/30198-Paid <br /> 80041810-00 <br /> TOTAL $313.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> SPEE DEE OIL CHANGE&TUNE-UP 209-239-8107 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 245W LOUISE AVE MANTECA CA 95336 <br /> sPeusE CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> MCPHERSON ROD <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> SPEE DEE OIL CHANGE&TUNE-UP 209-239-8107 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 245W LOUISE AVE MANTECA CA 95336 <br /> PREPARED - CHECKED DATE 8/8/03 <br /> COL 20 (888 <br />