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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0544512
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/31/2019 4:19:13 PM
Creation date
5/31/2019 4:05:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544512
PE
3528
FACILITY_ID
FA0023181
FACILITY_NAME
FULLER, JACK
STREET_NUMBER
911
STREET_NAME
CLARANE
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
07736023
CURRENT_STATUS
02
SITE_LOCATION
911 CLARANE AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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N H-9:i !--le 1-?9 <br /> Deceipf" 2 J' <br /> Certified Mail <br /> M No Insurance Coverage Provided <br /> v SSERVICe DO not use for International Mail <br /> (See Reverse) <br /> Sent to <br /> JACK FULLER <br /> Street and No <br /> 6635 GRIGSBY PL <br /> P.O.,State and ZIP Code <br /> STOCKTON CA (1c;219 <br /> Postage $ . 32 <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing <br /> m to Whom&Date Delivered 1 .10 <br /> a) Return Receipt Showing to Whom, <br /> e Date,and Addressee's Address <br /> 7 <br /> TOTAL Postage $ <br /> C &Fees 2 . 52 <br /> Postmark or Date <br /> 00M <br /> E <br /> 0 <br /> LL <br /> Cn0— <br /> , 21 I also wish to receive the <br /> y • Complete items 1 and/or 2 for additional sg[ ipest dj <br /> • Complete items 3,and 4a&b. a a', followingf ryyces (for extra <br /> r�A • Print your name and address on the reaerse o tfais'9'orm so that11� h fee): 1 6� •� <br /> return this card to you. N <br /> m . Attach this form to the front of the ma Ipidce,or on the back if ace 1. El Addressee's Adtli eSS y <br /> does not permit. ) `+ <br /> m a <br /> • Write"Return Receipt Requested"on the mailptie�Apel6w t�e 1rticle number. 2, ❑ Restricted Delivery •� <br /> +X+ : The Return Receipt will show to whom the article was delivered and the date <br /> C delivered. r Consult postmaster for fee. <br /> rticle Number <br /> 3. Article Addressed to: ,,,�o �E I <br /> c. JACK FULLER 4b. Service Type oc <br /> E 6635 GRIGSBY PL ❑ Registered ❑ Insured om <br /> UC <br /> ti STOCKTON CA 95219 LIQ Certified ❑ COD <br /> Express Mail ❑ Return Receipt for <br /> '+ Merchandise c <br /> 7. Date of Delivery <br /> C _ � <br /> 0 <br /> •Q r <br /> 8. Addressee' ddress(Only if requested x <br /> n (A sseel and fee i p id) s <br /> H ~ <br /> PS Form 3 1 1, Dec ber 1991 *U.S.OPO:1992-323-402 ME TIC RETURN RECEIPT <br /> N <br />
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