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Page 2 <br /> SITE CODE: 507155 <br /> SITE NAME: THREE B'S TRUCK PLAZA <br /> 14749 N THORNTON RD <br /> LODI CA 95242 <br /> RESPONSIBLE PARTY(IES): <br /> ANDY ZARAKANI <br /> THREE B'S TRUCK PLAZA <br /> P O BOX 1036 <br /> TRACY CA 95376 <br /> SENDER: 72' <br /> Complete items 1 an or r r adQJGonel O I also Wish 10 receive the <br /> m <br /> -Complete items 3,4a,and 4b. #"�7125" <br /> following services(for an <br /> •Print your name and address o t e verse t la so that we can return this extra fee): <br /> card to you. u <br /> > •Attach this form to the front of the mailpiece,or on the back if space does not 1, ❑ Addressee's Address <br /> d permit. <br /> • <br /> Write Receipt Requested'on the mail am below the article number. d <br /> e p eq is 2. El Delivery to <br /> The Return Receipt volt show to whom the aniGe was delivered�Id the dale <br /> derver,a. UIii1 Y Consult postmaster for fee. a <br /> d3.Article Addressed to: 4e.Article Number $ <br /> a <br /> E ANDY ZARARANI 4b.Service Type <br /> THREE B'S TRUCK PLAZA ❑ Registered X Cz <br /> ertifietl <br /> P O BOR 1036 ❑ Express Mail ❑ Insured c <br /> ❑ ReturnReoeipt for Merchandise ❑ COD <br /> TRACY CA 95376 7.Date of Del iv ry <br /> / / o <br /> ¢ T <br /> 5. Received By: (Print Name) 8.Addressee's Address(Only if requested <br /> and fee is paid) c <br /> H <br /> g 6.Sign:N � or nt), <br /> X ((� <br /> m <br /> PS Forth 3811, December 1994 102595-97-e-0179 Domestic Return Receipt <br /> ru <br /> Ln <br /> M b Ln <br /> � <br /> r, e torut U m H <br /> cD m U Pq Dri m ; o E' m <br /> U y d <br /> LL 0 � (C b b'i a• o '� <br /> N �•� <br /> a E <br /> W a E .3 6 E < E <br /> V_ � — :c aa+ � � - r <br /> �� Z 0 rn a' a U rrT Q ¢ a a <br /> 5661 I!ttlV 001?£wtod Sd <br />