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SITE CODE: 505309 <br />SITE NAME: FERNANDOS PLACE <br />1201 S CENTER ST <br />STOCKTON CA 95206 <br />RESPONSIBLE PARTY(IES): <br />ROGER HUCKINS <br />3501 OAK GROVE CR <br />STOCKTON CA 95209 <br />�yseavefl: <br />O •Complete Items 1 an r 2 Iti m <br />b . Complete llama 3, 4a, d 4 of <br />.Print your name and ad as <br />q�^r rd to y <br />. Attach this form to the front of the mailplec., oro ebac if <br />. w <br />p miL,ed <br />riteRetum d" Receipt Requesteon the mallplI <br />•The Return Receipt will show to whom the article <br />delivered. <br />3. Article Addressed to: <br />ROGER RUCKINS <br />E 3501 OAR GROVE CR <br />STOCKTON CA 95209 <br />r:-ReC ived By: (Print Name <br />t9 at re. dories ee r Agent) <br />0 PS Form 3811, ecember 1994 <br />Page 2 <br />Z 128 784 310 <br />uS Postal Service <br />Receipt for Certified Mail <br />ROGER RUCKINS <br />3501 OAR GROVE CR <br />STOCRTON CA 95209 <br />OCT 0 61999 <br />1 Postage Is <br />Cedified Fee <br />Soedat Delivery Fee <br />m <br />rn <br />O TD L Po Cage &Fees <br />A <br />� Postmark or Data <br />I also wish to r ceive the <br />folbatXT.r , S1, I �9 <br />n rewm this extra f , � �; �. , .: ,.: <br />not 1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. TL <br />4a. Article Number <br />� /G3.�!-410 <br />4b.service Type <br />❑ Registeredertified <br />❑ Express Mail <br />Insured c <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date of Delivery <br />C <br />B. Addressee's Address (Only J requested X <br />and fee is paid) Ii <br />102595 -9B -B-0229 <br />