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CPG # T0: O CE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL Copy <br /> ACCOUNT NO. DEPT. NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI. TITLE <br /> LAST - AKA - FIRST MI TITLE <br /> DOPACO INC(QANTAS) <br /> GUARANTOR SSN <br /> C/O NAME <br /> DOPACO INC. <br /> STREET CITY ST ZIP CODE AREA PHONE NO. <br /> MAILING <br /> 4545 QANTAS LN STOCKTON CA 95206-4997 209-983-1930 <br /> RESIDENCE STREET - CITY ST ZIP CODE AREA PHONE NO. <br /> EXTON PA 19341 610-524-8500 <br /> 100 ARRANDALE BLVD <br /> PYM PR B <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BM CBM INT MONTHLY PAY AMT <br /> 4/15/09 <br /> 3734 HAZMAT <br /> CHARGES <br /> LAST - RECIPIENT - FIRST <br /> MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGEDEPT. NO. DESCRIPTION AMOUNT HARGE DEPT. NO. DESCRIPTION AMOUNT <br /> 230 026000.0 2009 Hmmp Late Charge $36.00 <br /> Permit Fee Penalty $2149.00 <br /> TOTAL $2185.00 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> CITY ST ZIP CODE <br /> PRIOR STREET <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> DOPACO INC (QANTAS) 209-983-1930 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 4545 QANTAS LN STOCKTON CA 95206-4997 <br /> SSCO-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 /> DOPACO INC (QANTAS) 209-983-1930 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 4545 QANTAS LN STOCKTONCA 95206-4997 <br /> REPARED BY � CHECKED BY � DATE ._ coy. zo Israel <br /> ��,u _. "7.-/ /0? <br />