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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0544158
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/21/2019 1:13:10 PM
Creation date
2/21/2019 11:04:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544158
PE
3500
FACILITY_ID
FA0005311
FACILITY_NAME
HOTCHKISS MORTUARY
STREET_NUMBER
5
Direction
W
STREET_NAME
HIGHLAND
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
5 W HIGHLAND AVE
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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'►'a3�,9 765 876 <br /> US Postal Servic�n <br /> Receipt fopterntiet� i <br /> .. N_4_Insurance Coverage provided. t <br /> BRUCE HOTaiKISS <br /> HOTa-9jSS MORTUARY <br /> 5 W HIQD AVE <br /> TRACY CA 95376 <br /> Postage <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> h <br /> M Ratum Receipt Showing to <br /> Whom&Date Delivered <br /> �. Iom <br /> Nm Receiptshowingro Wh , <br /> Date,d Addressees Address <br /> O <br /> TOTAL Postage&Fees <br /> € Postmark or Date <br /> 0 <br /> L <br /> V1 <br /> d SEI e. <br /> v •Co <br /> at <br /> item,1 <br /> y �P nWete teme 3,4a,and or 2/or additional se — <br /> Your name antl atltl 4b. rvices. <br /> m cartl to You. ress on the relame <br /> I also <br /> •Pemuht this rom,to the hoot of t verse ort s s t e folio Wt to receive the <br /> y •Wnle Hefum R mallpiece,or n t s extra f g18ernces(for an <br /> 'R etumR eCerpl Requested' rpt�S] <br /> oC dativered. rpt vAl show to whom a article below the ahiae t' � Q/ <br /> -0 Article Ad a was tleliveretl and thea Z �s Us <br /> 8 <br /> v 3. <br /> Addressed to: Restricted Delivery u <br /> c BRUCE H _�- -. 4 rticle Nu bo°suit postmaster for lee. S, <br /> S ISS a ru <br /> 5 W H GSS MORTUARY 4b.servicer 6 <br /> ZD AVE ❑ Registered <br /> pe � <br /> TRACY CA 95376 <br /> a 0 Express Mail yV Certified <br /> 0 Retum Receipt for Me ❑ Insured e <br /> 8.Received ey.(print Name 7'Date of Delivery ��� 0 COD <br /> 1 <br /> S S.Signatur �qdd 8.Addressee's Add, <br /> n X �{ ssea V and fee is paid ss( n/yif requested .r <br /> PS Form 3817, D ember 1994 + r' <br /> Domestic Retum Receipt <br />
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