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------- ------ ------ - <br /> -- --. <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610, COURTHOUSE <br /> 222 E. WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> Payment Due Date: January 18, 1999 Total Amount Due: $255.00 Account No.: 6883 <br /> Site Address: C&S ONE HOUR MARTINIDNG !I D LS <br /> 5756 PACIFIC AVE STE I D <br /> STOCKTON,CA 95207 <br /> DEC - 91998 <br /> BRF-06 Revision 7/96 <br /> SAN JOAQUIN(AUNTY <br /> . OFFICE OF EMFRGENCY SERVICES <br /> 1'�oI9P�{ ZZ4�F 1x883 CSS ono �}o.l 1llchtnl2rr� <br /> _2_5 5 CO <br /> DATE RECEIPT ID NUMBER CASH CHECK AMOUNT <br /> NUMBER BUSINESS NAME PAT PMT OTHER RECEIVED <br /> .A. <br /> y. RECEIPT No. 22844 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 E. WEBER AVE. — ROOM 610 <br /> STOCKTON, CA 95202 <br /> BY <br /> CASHIER <br /> m n nr. .. <br /> I <br /> a SENDER: 01 to receive the <br /> V <br /> Is Complete items ._dd/o, additional services. ,,,,dWiny oeNICBS(for a0 <br /> .y •Complete.items 3,4a,and w. <br /> y •Print your name and address on the reverse of this form so that we can relurn this extra fee): <br /> Card to you. <br /> m •Attach this form to the front of the Tailpiece,or ogthe ba,pcp sp,�{;@,goes not 1.❑ Addressee's Address 2 <br /> •Wn e�t"Refum Receipt Rai the mail i W'�1f l �� unI 2.0 Restricted Delivery <br /> re .The Return Receipt will show to whom the articleewwas adelive ed and the date <br /> delivered. Cbrisult postmaster for fee. a <br /> 0 3.Article Addressed to: 4a.Article Number <br /> z �ta7 ?1�5CE <br /> ATTN PATEL CHARLES B E <br /> g 4b.Service Type / o <br /> E C&S ONE HOUR MARTINIZING ❑ Registered m Certified <br /> " 5756 P&CSFIC STE 1rn <br /> ❑ Express Mail El Insured � <br /> m STOCKTON CA 95207 ❑ Return Receipt for Merchandise ❑ COD <br /> 0 7.Date of Delivery o <br /> 0 <br /> MCC <br /> a i. It <br /> Ce 5.Received By: (Print Name) 8.Addressee' s(Only i/requested g <br /> and fee is paid) m <br /> Lu L <br /> 6.Sign re: (Addy ee or Agent) <br /> o' AX — <br /> T <br /> `—" PS>17111811,December 1994 102595-99-8.0229 Domestic Return Receipt <br /> 1 <br />