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a9"1 625 Sunbeam Avenue 2965 Cherryla nd Avenue,Suite A RETURN MERCHANDISE FORM <br /> Sacramento,CA 95814-0495 Stockton. CA 95215 <br /> (916)443-9018 Sacramento (209) 941-9001 Stockton N0+ 23854 <br /> Y <br /> 11110" ( 16)4434572 FAX <br /> m RETURNED-@Y <br /> NAME • i`1 r' <br /> z -. DATE <br /> ADDRESS TRANSACTION NUMBER <br /> THJS C;ECTIOIJ TO PE • : <br /> iiY ": dEBES Igd <br /> �� <br /> R6- <br /> � - R11N ,-`:: <br /> . . .. <br /> 1 } RE7VAN ADV. QDRE - AD CE <br /> t y � i , �` ,z:' s R ;':fr Fu�`'•1.,ai'1�1 aq,'twM <br /> :t>'R%ler�y ..-j' _ r^1 i -: ! t -n,q •' ].u�y� f n ,`k 5 ^.`R ivy <br /> A� <br /> 529 SUNBEAM AVE, <br /> SACRAMENTO,CA.95511 _ <br /> 2509 N-CJRRRYIA140 AVE. <br /> 9TOCKTON,CA.55215 a `a•-.y <br /> ^-'rk <br /> j 4 OLD BATTERIES PICKED UP 6 STORED AT ABOVE <br /> ADDRESSES FOR DISPOSAL AT: <br /> RSR INC., 720 7TH ST.;CITY OF INDUSTRY,CA. <br /> OR <br /> o EXIDE TECHNOLOGIES;1314 N.LEMON ST.;ANAHEIM,CA. <br /> EPA APPROVED RECYCLERS <br /> RSR EPA#CADOSEM968 <br /> EX.EPAN CAD08OM4801 <br /> r b <br /> v <br /> m y r. 1 x �_ .:, <br /> 4E ; 7C 3 t:i f 3 yy Jk31 4h1 SI a 1 4 <br /> � f �., i �'tC �.�?1r1S.+ j'W {i.i• .1t g� y/ <br /> 0 <br /> , <br /> CUMMER'S SIGNATURE - — <br /> DRIVERSSIGNATURE - <br />