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CPG '# T0: OFFICE OF REVENUE AND RECOVERY COPY ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT. NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST AKA - FIRST MI TITLE <br /> STRINGS ITALIAN <br /> C/O NAME GUARANTORSN <br /> MARKET VISION ENT <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> STRINGS ITALIAN 10628 TRINITY PARKWAY STOCKTON CA 95219 209-478-4456 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONENO. <br /> 10628 TRINITY PARKWAY#E STOCKTON CA 95219 209-478-4456 <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BMd CBMd INT MONTHLY PAY AMT PYMT PR B <br /> 13188 HAZMAT 3/20/10 <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 HARGE DEPT, NO. DESCRIPTION AMOUNT <br /> Kin230 026000.0 2010 Hazmat Fee $255.00 <br /> State Surcharge Fee $24.00 <br /> Electronic Surcharge $2500 <br /> Hazmat Penalty Fee $25.50 <br /> TOTAL $329.50 <br /> GUARANTOR <br /> D!L± DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> STRINGS ITALIAN 209-478-4456 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 10628 TRINITY PKWY E STOCKTON CA 95219 <br /> SPQV3W CO—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 /> STRINGS ITALIAN 209-478-4456 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 10628 TRINITY PKWY E STO TON CA 95219 <br /> REPARED BY CHECKED BY DATE J//i3//0 COL. 200(3M) <br />