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IE COPYPage 2 <br /> SITE CODE: 231489 - <br /> 9 <br /> SITE NAME: EZ GAS MINI MARKET Z` 12 8L 7 8 4 3-5 D <br /> 1405 MAIN STREET . 'US Postal Service . <br /> ESCALON CA 95320 Receipt-forCertified Mail <br /> DOUG STIDHAM "' <br /> : <br /> RESPONSIBLE PARTY(I-ES): CITY OF ESCALON <br /> P 0 BOX 248 _ _... .. . <br /> DOUG STIDHAM ESCALON CA 95320 <br /> CITY OF ESCALON <br /> P O BOX 248 Postage <br /> ESCALON CA 95320 Certified Fee <br /> w <br /> Special Delivery Fee - <br /> - I <br /> Restricted:Delivery Fee <br /> LO <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> a Rehm Receipt Showing to Whom, <br /> Q 'Date,&Addressee's Address <br /> 0 TOTAL Postage&Fees - <br /> ,Postmark or Date <br /> U) <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery <br /> item 4 if Restricted.Delivery is desired. M .I 2 <br /> r' ■ Print your name and-address on the reverse. <br /> so that we can return the card to you. C. Si ature , <br /> P ■ Attach�yy r to he of thpb�c�, ❑'Agent <br /> or on tl� it pcitS. 11 YY ❑'Addressee <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No ? <br /> t <br /> DOUG STiDHAM6 <br /> CITY OF.�ESCALON <br /> P 0 BOX <br /> '-7i4_-8 I 3. S ice Type - <br /> a._W ! Certified Mail ❑ Express Mail <br /> �6-i <br /> ¢`ESCALON ;__CA 95320 j ❑ egistered ❑ Return Receipt for Merchandise <br /> _- Lf _ ❑ Insured Mail ❑C.O.D. <br /> : 4. Restricted Delivery?(Extra Fee) ❑Yes y <br /> 2. Article Number(Copy from service label) <br /> PS Form 3811,July 1999 Domestic Return Receipt v�� t 2595 M-1789 <br />