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FILE COPY <br /> Page 2 <br /> SITE CODE: 2253 <br /> SITE NAME: WELDON CHURCH PROPERTY (FORMERLY CHURCH <br /> REFRIGERATION) <br /> 104 W BEVERLY PL <br /> TRACY CA 95376 <br /> RESPONSIBLE PARTY(IES): <br /> WELDON CHURCH <br /> WELDON CHURCH PROPERTY (CHURCH REFRIGHERATION) <br /> 1958 YOSEMITE AVENUE <br /> BERKELEY CA 94707 <br /> Z 128 784 342 <br /> US Postal Service <br /> Receipt for Certified Mail <br /> Nn I---o r^-----D—i,'-A <br /> m SENDER: z1 ZC ✓ <' I also wish to receive the <br /> WELDON Irl CHURCH v_ ■Complete item and/ z for t(o following services for an <br /> ■Complete items 3,4a,and for g <br /> WELDON CHURCH PROPERTY d ■Print yo 1r narrrrrr���and address pn the reverse of this form so that we can return this extra fee): <br /> card to you. T)"�'�, t-y-+�� <br /> 1958 YOSEMITE RD d ■Attach this fo to the fro t mail iece,or on the back it ace does not <br /> > a p 1. ❑ Addressee's Address � <br /> BERKELEY CA 94707 ` ■Write'tRetwn ted <br /> R <br /> Receipt e ues 'on the mailpiece below the article number. <br /> pt ,. tow le was delivered and the date <br /> 2. El Restricted Delivery U)■The Return Receipt`�H T m <br /> Postage $ c delivered. Consult postmaster for fee. <br /> 3.Article Addressed to: 4a.Article Number ami <br /> Certified Fee 2 <br /> a E <br /> Special Delivery Fee E WELDON Irl CHURCH 4b.Service Type «' <br /> Restricted Delivery Fee h WELDON CHURCH PROPERTY ❑ Registered Certified M <br /> Zn ❑ Express Mail ❑ Id <br /> G <br /> Whom&Date Delivered <br /> rn Insured <br /> Return Receipt Showing to w 1958 YOSEMITE RD ❑ Return Receipt for Merchandise ❑ COD <br /> � ar <br /> BERKELEY CA 94707 <br /> L Return Receipt Showing to Wham, Q 7. Date of Delivery f <br /> Date,&Addressee's AddressC <br /> 2 <br /> 0 TOTAL Postage&Fees $ p 5. Received By: (Print Name) 8.Addressee's Address(Only it requested <br /> 00 <br /> EPostmark or Date W and fee is paid) <br /> o 6.Signature: (Addressee or Agent) <br /> LL ? X <br /> aa. <br /> PS Form 3811, December 1994 102595-97-8-0179 Domestic Return Receipt <br />