Laserfiche WebLink
CPG it "A ° TO: . OFFICE OF-TH COLLECTOR <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT. NO. AT <br /> LAST - GUARANTOR - FIRST - MI TITLE LAST - AKA - FIRST MI TITLE <br /> IRPIORT, R R 0 <br /> C/O NAME[ GUARANTOR SSI <br /> 81I�LJNPaLFYr IWTL�hE 1 1 1 1 1 <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> A P T I I I I I I I I I I I I I I I I I I i 5 'lMlO I 1 11 1 95 6'• 0 481 3rn <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 39 A P Tj I I I I I I I I I I I I I I I I I I I ISTqCKTIONI 5 6' 0 8 13 ,O <br /> PO <br /> USER REFERENCE NO. BILLSTA CLE STATUS DATE Mf Y. CB INT MONTIILY PAY nMl DUE DATE TERYMT M DATE <br /> I I I I I <br /> FACILITY #003521 CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLEREIPiFNT USER REFERENCE NO/NARRATIVE <br /> UDH <br /> SERVICE DATE: nl- <br /> START STOP MED REC NO 'unr+r,E <br /> I <br /> Op '0 0 <br /> uP0 DESCRIPTION AMOUNT HARGF <br /> 1DEPT NO DESCRIPTION <br /> O NO <br /> 1990 <br /> 380 041Q00 l 1 Far F 1 1 1 1100 00 I 1 1 <br /> 1 1 1 1 1 1 1 ; Penalt1988-90 Faci i y 1300 00 <br /> 1886-90 <br /> I I 1 1 1 1 1 1 1 1 1750 00 1 1 1 1 1 1 1 1-1988 <br /> 1 1 1 1 1 1 1 <br /> -90 Tank <br /> I I I I I IPpnaltiec 1I 1991-951 <br /> I I 1 I I 455 0 <br /> - an <br /> I 1 1 1 1 1 <br /> Penalties 1 1 1 2550 00 1 1 1 1 1 1I I <br /> I I 1 I I 1 1 1 <br /> TOTAL 6700 <br /> GUARANTOR <br /> DOB OR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> I I I I i l l l l l l l I I I I I I I I I 1 1 1 1 1 1 1 I I I I I <br /> SPOUSE <br /> LAST FIRST MI TITLEJ SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 11 .1 I I I I I I I I I I 1 1 <br /> PREP ECK ED BY TFC. <br /> ( /%� m co L. zo Was) <br />