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CPG TO: ICE OF REVENUE AND RECOVERY <br /> 0 ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT. NO. REFERRAL1111 `til �y <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> STRINGS ITALIAN <br /> C/O NAME GUARANTOR SSN <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 BMI CBMINTI MONTHLY PAY AMT PYMT PROS--- <br /> 13188 HAZMAT 3/15/09 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> nog <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT. NO. DESCRIPTION AMOUNT HARGENn NQ DEPT. NO. DESCRIPTION AMOUNT <br /> 230 026000.0 2009 Hmmp Annual Fee $240.00 <br /> 1 Chem @ $15.00 $15.00 vt ,1\ <br /> 10% Late Charge $25.50 <br /> State Service Fee $24.00 <br /> TOTAL $304.50 <br /> GUARANTOR <br /> DOB 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 /> S-POUS& CO—OWNER <br /> AST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <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 /> REPARED BY I CHECKED BY DATE ./ Z p, a COL. 20 (3/88) <br />