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CPG # TO: OFFICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL . CO <br /> ACCOUNT NO. DEPT. NO. REFERRAL u <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> BUTTE THERAPY SYSTEMS(STKN) <br /> C/O NAME GUARANTOR SSN <br /> CURTIS SAXTON <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 1050 N UNION ST STOCKTON CA 95205 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 125 MARK LANE SUTTER CREEK CA 95685 <br /> USER REFERENCE NO, IBILL TAT CYCLE STATUS DATEI 8MC1 Camd INTI MONTHLY PAY AMT I PYTF MT RM n <br /> ATF <br /> 14161 HAZMAT 1.3/1.5/1.0 <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 /> 230 026000.0 2007 - 2009 Hazmat Fee $765.00 <br /> Hazmat Penalty Fee $38.25 <br /> Payments -$382.50 <br /> TOTAL $420.75 <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 /> BUTTE THERAPY SYSTEMS (STKN) <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1050 N UNION ST STOCKTON CA 95205 <br /> SPOUSE, 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 /> BUTTE THERAPY SYSTEMS (STKN) <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 1050 N UNION ST STOC TOt11 CA 95205 <br /> PREPARED BY CHECKED BY DATE COL. 20 (3188) <br />