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CPG #, T0: OSCE OF REVENUE AND RECOVERY ^ O �� <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT.NO. REFERRAL '\/(\vr�_ <br /> 026000.0 <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 I MONTHLY PAY AMT <br /> 6516 HAZMAT 3/15/07 <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 /> NONO <br /> 230 026000.0 2007 Hmmp Annual Fee $240.00 <br /> 3 Chems @ $15.00 Each $45.00 <br /> 10% Late Charge $28.50 <br /> State Service Fee $24.00 <br /> Sm Hw Gen <5 Tons/yr $206.00 <br /> Permit Fee Penalty $206.00 <br /> TOTAL $749.50 <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 /> OFE)UM CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB OR 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 BCYiL '/ �f/-' CHECKED BV �uD�ATE J a7 coy. 20 ragas <br />