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TO: OFFICE OF THE COLLECTO' <br /> CPG u <br /> ACCOUNT TRANSMITTAL <br /> ACCOUNT NO. DEPT. NO. AT <br /> 0410001 Ol 10 92 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> Dept. of Transp. FAA Wm. Copeland <br /> I I I i <br /> C/O NAME GUARANTOR SSN <br /> Fle erall Ayipti n d / it T f is <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 15000 Aviation Blvd. Hawthorne CA 90206 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 7 ina St c on CA <br /> LL� 11111111 111111111 <br /> USER REFERENCE NO. SILLSTA CLE STATl15 D4TE M CB INT MONTHLY PAY AMT PYMT PROS <br /> Dl1E DATE TERM DATE <br /> Unde ground Tank Re ov 1 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RE piQg NT USER REFERENCE NO/NARRATIVE <br /> I I I I <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> 0813101 <br /> HARD DESCRIPTION AMOUNT HNROGE DEPT NO DESCRIPTION <br /> NO <br /> 380 0410001 ! UGT Removal 185 ; 50 <br /> I I I I I I I I I I I I I I I <br /> 3" ,041Q0 ] i Penalty I 1 1 3 6 <br /> I I 1 1 1 1 1 1 I I I I I I 1 1 1 1 1 1 I I I I I I I <br /> I I I I I I I I I <br /> I I I I I i I I I <br /> I I 1 1 1 1 1 1 I I I A I I I 1 1 1 1 1 1 <br /> I I I I I I I I <br /> TOTAL 1 2 4°46 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> I I I I I I I I I I I <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> I I I I I <br /> SPOUSE <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> PREPARED BY CK D BY A E <br /> ® COL. 20 13/831 <br />