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--------- -------------- <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610, COURTHOT-_ '1 <br /> 222 E. WEBER AVENL <br /> STOCKTON, CA 95202 <br /> Payment Due Date: March 18, 1999 Total Amount Due: $85.00 Account No.: 8836 <br /> Site Address: TERRY'S CHE.ROKEERVSVC <br /> r <br /> 2460 N WILSON WAY <br /> STOCKTON,CA 95205 <br /> MIAR 1019% � U <br /> BRF-06 f Revision 7/96 <br /> SAN 11111IN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> 312 2, '3g85 883CD (ec sy15 Gl�arn�oo RV Svc Q,5 C� <br /> DATE RECEIPT ID NUMBER BUSINESS NAME CASH CHECK OTHER AMOUNT <br /> NUMBER - PMT Par RECEIVED <br /> RECEIPT No. 23985 <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 /> SENDER: I alsr-4sh to receive the <br /> .Complete items 1 am for additional services. follc services(for an <br /> • .Complete items 3,4a, 4b. �ASMER <br /> .Print your name and Bourses on the reverse of this form so that we can return this extra Gael: <br /> card to you. y <br /> .Attach this form to the hoot of the mailpiece,or on the back if space tloes rwt 1.❑ Addressee's Address <br /> .zztea'Rehm Reca'pt Requested'on the mailplece below the article number. 2.❑ Restricted Delivery <br /> •The Return Receipt wHI show to whom the artice was delivered and the dads <br /> delivered. Consult postmaster for fee. <br /> p <br /> - <br /> 0 3.Article Addressed to: 4a.`A-r-7ticle Number <br /> / - 1f, � I Ll "7 <br /> f <br /> 8836 4b.Service Type <br /> ATTN DEBBIE PHILLIPS ❑ Registered ID Certified aE <br /> TERRY'S CHEROKEE RV SVC a <br /> 2460 N WILSON ❑ Express Mail ❑ Insured 3� <br /> STOCKTON CA 95205 ❑ Return Receipt for Merchandise ❑ COD 3 <br /> 7.Date of Delivery <br /> 5.Received By: (Print Name) B.Addressee's Address_fOnly,it requested <br /> arldffee is paid) - f <br /> 6.Signs (A�essee or nt) _ ��U 0 �Fr 3 !+�! <br /> X � <br /> S PS Form 3811, December 1894 ,ozsaaeaBoz�-2��turn Receipt <br />