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Payment Due Date: 04/-4/94 Tota Amoartt Due:, _$255.00 <br /> If Received After: 04/29/94 Pay This Amount: $280.50 <br /> Billing For Site Address Account No: 6883 <br /> ONE HOUR MARTINIZING/LOUGHBOROUGH <br /> 5756 PACIFIC AVE #1 <br /> STOCKTON, CA 95207 <br /> AP, <br /> DATE RECEIPT ID NUMBER -- / tCASHCXECK AMOUNTNUMBER BUSINESS NAME PMi OTHER AMOUNT <br /> RECEIVED <br /> a <br /> RECEIPT N0. 1 3 IJ 1 4 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION p <br /> 222 E. WEBER AVE. — ROOM 610 1 LI <br /> STOCKTON, CA 95202 <br /> n. <br /> a SENDER: <br /> rp • Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> o Complete items 3,or &b. followin -vices (for an extra m <br /> Print your name and s on the reverse of this form so that we can fee): <br /> return this card to you. <br /> ` • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address N <br /> does not permit. N <br /> Z <br /> • Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ 6 <br /> Restricted Delivery <br /> • The Return Receipt will show to whom the article was delivered and the date m <br /> G delivered. Consult postmaster for fee. m <br /> v 3.. 'cle ddressed to: 4a. Article umber <br /> . P�0 3a-3 .30 <br /> ONE HOUR MARTI NIZING/LOUGHBOROUGH 4b. Service Type z <br /> ATTN:CHARLES PATEL El Registered El Insured <br /> 70 <br /> 5756 PACIFIC AVE *1 D-Ifertified ❑ COD <br /> STOCKTON,CA 95207 ❑ Express Mail ❑ Return Receipt for <br /> Merchandise <br /> 7. Date of Delivery <br /> / °. <br /> Z. OZ <br /> Signature (Addressee) 8. Addressee's Aafdress (Only if requested JK <br /> F=- and fee is paid) <br /> m <br /> t <br /> Cic 6. Signature IAgent) <br /> 7 <br /> 0 <br /> y PS Form 3811, December 1991 *U.S.GPO:1992- 123-402 DOMESTIC RETURN RECEIPT <br />