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DW4 Aim <br /> OA RECEIPT ID NUMBER BUSINESS M�` - CASH CHECK OTHER AMOUNT <br /> NUMBER _ PMT PMT RECEIVED <br /> s <br /> RECEIPT No. 14955 <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 /> CASHI R <br /> OFFICE OF EMERGENCY SERVIC' <br /> COURTHOUSE-ROOM 610 <br /> 222 E.WEBER AVENUE <br /> STOCKTON,CA 95202 <br /> Payment Due Date: 03/30/95 Total Amount Due: $255.00 <br /> Billing For Site Address: Account No: 6883 <br /> ONE HOUR MARTINIZING/LOUGHBOROUGH 1 R <br /> 5756 PACIFIC AVE #1II] <br /> STOCKTON, CA 95207 <br /> FEB 2 71996 <br /> d SENDER: <br /> S • Complete items 1 an `.for additional services. I als( sh to receive the ------- ---- '— -'- <br /> tl1 <br /> m • Complete items 3,an. ,&b. following services (for an extra <br /> 2 • Print your name and address on the reverse of this form so that we can fee): � <br /> return this card to you. y <br /> m • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address y <br /> does not permit. <br /> t • Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery c <br /> • The Return Receipt will show to whom the article was delivered and the date V <br /> c delivered. ""- Consult postmaster for fee. 0 <br /> 3. Article Addressed to: 4a. Axtiple r E <br /> d G/LOUGHBOROUGE <br /> a ONEHOURMARTINIZIN 4b. Service Type p� - <br /> E ATTN: CHARLES PATEL ❑ Registered ❑ Insured <br /> o ���� "" W <br /> 5756 PACIFICAVE#1 rtified ❑ COD 5 <br /> w sTOCKTON,CA 95207 6883 <br /> Express Mail ❑ Return Receipt for <br /> � p� Merchandise G <br /> 7. <br /> Q �`V r� �/VY T <br /> Z 5. Signature (Addressee) 8. Addressee's Address(Only if requested m <br /> 7 g and fee is paid) m <br /> It <br /> H <br /> 6. Signature (Agent) <br /> i. vc c„rr., 1911. December 1991 *U.S.GPO:1903-352-716 DOMESTIC RETURN RECEIPT <br />