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Z S1�-}- 083 _e c S CY�o � Svc— Q,S Cx� <br /> 4SH HEC OTHEP AMOUNT <br /> RECEIPT BUSINESS NAME 'MT PMT RECEIVED <br /> DATE NUMBER ID NUMBER I <br /> ry [� <br /> RECEIPT No. 25654 <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 CASHIER <br /> a SENDER: wish to rec Ive a he <br /> V .Complete items 1 2 for additional services. if Ina services(for on�sK <br /> w .Complete items 31 end 4b. /�•� <br /> m •Print your name and address on the reverse of this form so that we can return thi extrW_ pp <br /> card to you. 1.ElAddrdoE f ddr <br /> `N •Attach this form to the front of the mailpiece,or on the back 0 space does not <br /> permit. Restricted Delive d <br /> •Write°Return Receipt Requested'on the mailpiece below the article number. 0 , 5 N , <br /> c .The Return Receipt will show to whom the article was delivered and the data ,,, ,� � ter for f e. <br /> delivered. d <br /> 0 3.Article Addressed to: 4a.Article Number <br /> w 4b.Service Type <br /> g ATTN DEBBIE PHILLIPS YP <br /> c TERRY'S CHEROKEE RV SVC ❑ Registered Q Certified <br /> 2460 N WILSON ❑ Express Mail ❑ Insured c <br /> STOCKTON CA 95205 ❑ Return Receipt for Me handise ❑ COD <br /> 7.Date of Deli ery <br /> a a <br /> 5. ed By: (print Name 8.Addr sse 's Address(Only if requested <br /> and fee is paid) t <br /> �l F <br /> 6.Signur .(Address <br /> X / cr <br /> rd138.11,December 1994 0259¢-ae7e-o Domestic Return Receipt <br />