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---- - --------------------------- ----------------- <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610, COURTHOUSE <br /> 222 E. WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> Payment Due Date: April 6, 1998 Total Amount Due: $p255.00 Account No.: 6883 <br /> Site Address: C&S ONE HOUR MARTINIZAIG __ ,/-2 &f <br /> 5756 PACIFIC AVE STE 1 <br /> STOCKTON,CA 95207 - <br /> BRF-06 FEB z 5 Revision 7/96 <br /> I <br /> •z.25.'^i6 'ylZv'�9 (093 c+5.�1�.,.�r MUe�rinlzAT�j ✓ 255 to <br /> DATE RECEIPT 10 NUMBER BUSINESS NAME CASH CHECK OTHER AMOUNT <br /> NUMBER PMT PMT RECEIVED <br /> RECEIPT N0. 21288 <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 /> SENDER: I alt •ish to receive the <br /> .complete Items 1 ar for additional services. folio services for an <br /> •Complete items 3,4a,_.J 4b. I <br /> tl •Print your name and address on the reverse of this torn so that we can return fhLs extra feel: <br /> card tofr <br /> .Attach Mom <br /> Corm to the front of the mailpiece,or on the back H space does not 1.❑ Addressee's Address 31 <br /> pernH. <br /> .The 'Rerun Receipt Requested'on the snide w below the d and number. 2.❑ Restricted Delivery <br /> e The Return Receipt will show to whom the snide was delivered and the date <br /> delivered. Consult postmaster for fee. Z. <br /> 3.ArtiGe Addressed to: 4a.Article Number <br /> h. go/ <br /> 6893 4b.Service Type <br /> Q ATTN PATEL CHARLES B ❑ Registered ET Certified <br /> $ C&S ONE HOUR NARTINIZING <br /> ❑ Express Mail ❑ Insured <br /> 5756 PACIFIC STE 1 <br /> STOCKTON CA 95207 ❑ Return Receipt for MerchandIP ❑ COD <br /> 7. Date of Delivery, 1Wi- <br /> S.Received By: (Print Name) 8.Addressee's (tffYy°MPouested <br /> and fee is <br /> 6.Signature: (Addresse�or Agent) 1, IE <br /> 'o X <br /> PS Form 3811,December 1994 +02595-se-e ores Domestic Return Receipt <br />