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Payment Due Date: 04/05/93 Total Amount Due: $255.00 <br /> If Received After: 04/20/93 Pay This Amount• $280.50 <br /> BILLING FOR SITE ADDRESS eeount No: 6883 <br /> ONE HOUR MARTINIZING/LOUGHBORO <br /> 5756 PACIFIC AVE. #1 <br /> STOCKTON, CA 95207 �AR 11993 <br /> SAN JOA.QUIN COUIM <br /> OFFICE OF EMERGENCY SERVICES 1 <br /> '1D q 1 218 (mg 3 v%*- tOur 1'W^�,51,MS Z.S Oa <br /> RECEIPT BUSINESS NAME CASH CHECK OTHER AMOUNT <br /> DATE NUMBER ID NUMBER PMT PMT RECEIVED <br /> RECEIPT NO. 11278 <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 /> SENDER: cnswER <br /> 9 • Complete items 1 an ?for additional services. I 8150 `NISh t0 receive the <br /> m • Complete items 3, a Z b. followil vices (for an extra di <br /> d <br /> ` • Print your name and a, ,ss on the reverse of this form so that we can fee): > <br /> N return this card to you. `m <br /> y • Attach this form to the front of the meilpiece,or on the back if space 1. ❑ Addressee's Address y <br /> does not permit. y <br /> N • Write"Return Receipt Requested"on the mailpiece below the article number. 2 L1Restricted Delivery <br /> • Th <br /> « N <br /> e Return Receipt will show to whom the article was delivered and the data Consult postmaster for fee. fS tl <br /> Gdelivered. <br /> 3. Article Addressed to: 4zArticl�e Number <br /> 3 ZA 1 lJ O <br /> tiE HOUR MARTINI_Nig Lli_ii=rBJ P'I! ! 4b. Service Type ¢ <br /> ATT N: PATEL CHAND**NT B. ❑ Registered ❑ Insured <br /> 5756 PACIFIC AVE v I E;4ertified ❑ COD 5 <br /> STOCKTON CA 95207- ❑ Express Mail ❑ Return Receipt for <br /> Merchandise e <br /> 7. Date of Delivery '•" <br /> Q / ;;?,— O <br /> Z5. Signature (Addressee) 8. Addressee's Address (Only if requested c <br /> 7 and fee is paid) <br /> ,us <br /> H F <br /> 0 _ __ _ .__--_ ___ Eont oGCPIDT <br />