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3500 - Local Oversight Program
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PR0545642
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/6/2020 9:56:44 AM
Creation date
5/6/2020 9:49:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545642
PE
3528
FACILITY_ID
FA0003788
FACILITY_NAME
SHERWOOD PLAZA
STREET_NUMBER
5757
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
02
SITE_LOCATION
5757 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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F <br /> P 298 999 78' <br /> Re I r994 <br /> 'C 'iWW <br /> Cer <br /> No Insurance Coverage Provided <br /> �t Do not use for Intemational Mail <br /> (See Reverse) <br /> s t t ROBERT ROMERO • <br /> pC, <br /> $ .29 <br /> J F.r 1 . 00 <br /> aes�.r�rseC�� u2,rV Fee <br /> Retc:�Recti us_•�n,nru <br /> � ',a LN•c.n. ¢�r7are De'wretl <br /> RFtur.,R..rF P' .,q t6 <br /> C <br /> .para.- <br /> O <br /> G Pusm,ark or pale <br /> M <br /> F- <br /> 0 0 <br /> u <br /> N <br /> °' �;aish to receive the <br /> . also <br /> SEND services (for an extra <br /> following > <br /> • Complete items 1 andlor'2 for additional services. feB'Fj (� <br /> • Complete items 3.30 4a&h. fe �ddress y <br /> Print Y.o�r name and address on the reverse o1 this farm so that we can 1 LL + <br /> L or on the back if space fl <br /> m return trus card to 4ou. <br /> y • Attach this form to the front of the mailpiece, 2. <br /> ❑ Restricted Delivery <br /> does not permit. <br /> m Consult postmaster for fee. CC <br /> • Write"Return Receipt Requested"on the mailpiece below the article num <br /> r The Return Receipt will show to whom the article was delivered and the data consult <br /> Number C <br /> = delivered. 41. 1 <br /> 3. Article Addressed to: P 2 9 g 9 9 9 7 8 5 m <br /> m cc <br /> ROBERT ROMERO 4b. Service Type ❑ Insured dr <br /> BROS & AS <br /> ❑ Registered C <br /> E STONE XXCertified ❑ COD <br /> 0 1024 W ROBINHOOD ❑ Express Mail ❑ Return Receipt for � <br /> rn 95207 <br /> Merchandise p <br /> N STOCKTON CA7. Date of DeliverY e <br /> ua <br /> � T <br /> Q <br /> 4 3. Addresseedress)Only if requests m <br /> and f e is ) t <br /> 55. 'gn ure (Addres e)It <br /> h <br /> a <br /> tu 6. ture (Agent) <br /> 3irU.5.OP0:tii92-- 3 D MESTIC RETURN RECEIPT <br /> i- PS Form 11, December 1991 <br />
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