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i <br /> k <br /> t <br /> Page 2 <br /> SITE CODE: 1156 <br /> SITE NAME: DOLLY MADISON / LANGENDORF <br /> 1426 S LINCOLN ST _ <br /> STOCKTON CA 95206 f — 4 <br /> RESPONSIBLE PARTY(IES): Z 187 935 845 <br /> -us Postal Service <br /> INTERSTATE BRANDS <br /> TRAVIS BRYANT LORRIE_ GREENE <br /> 12 E ARMOUR BLVD 144 AVENIDA MIRA FLORES <br /> KANSAS CITY MO 64111 TIBURON CA -94920 <br /> MAY 111999' <br /> LORRIE GREENE' <br /> 144 AVEN MIRA FLORES' <br /> TIBUr CA 94920 certified Fee <br /> f Special Delivery Fee <br /> I Restricted Delivery Fee <br /> LO <br /> Return Receipt owi <br /> Whom&Date eli <br /> a Return Receipt , to <br /> Q Date,&Addressee's Address <br /> i 0 TOTAL Postage&Fees <br /> k Postmark or <br /> Date <br /> i o ( OL v• <br /> I� <br /> G a � <br /> i <br /> ® SEND <br /> ■Com to it s 1 anor 2 for additional s. I also wish to receive the <br /> W r.Complete items 3,4a,and 4b <br /> . following services(for an <br /> Q ■Print your name and address on the rev rse f m this extra f <br /> i L card to you. yggg�I/ 11 ass•Attach this forrn to the front of the mailplece,or on the back Ce does n 1.❑ ti�'essee's rt38g a <br /> permit. <br /> �� ■Write'Return Receipt Requested•on the mallplece below th u r. 2.❑ Restricted Delivery <br /> 0 y •The Return Receipt will show to whom the article was delive n to <br /> delivered. Consult postmaster for fee. TL' <br /> € a.Article NNumbe. V <br /> LORRIE GREENEV-17 <br /> n �4-i.Service Type E <br /> E 144 AVENIDA MIRA FLORES <br /> ~• $ TIBURON. CA 94920 ❑ Registered rtified pc <br /> ❑ Express Mail Insured cD <br /> c <br /> ❑ Return Receipt fo!,WrShagdi9e ❑ COD <br /> + 7.Date of DeK ry $ <br /> T <br /> 5.Received By (Print Name) 8.Addressee's A dress(Only if requested Y ' <br /> and fee is pai ) <br /> 6.Signature: Addressee orA ent <br /> 9 ) <br /> M <br /> PS Form 3811,December 1994 to2tsssa sorra D estic Return Receipt <br /> S <br />