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REMITTANCE ADVICE STATE OF CALIFORNIA <br /> STD.404C4REV.495) THE ENCLOSED WARRANT IS IN PAYMENT OF THE INVOICES SHOWN BELOW <br /> DEPARTMENT NAME ORG.CODE INVOICE DATE INVOICE NUMBER RPI <br /> INVOICE AMOUNT <br /> Department of General Services 11760 01/30/01 IN0080275 <br /> DEPARTMENT ADDRESS CLAIM SCHED.NO. 110.00 <br /> 1325 J STREET 00004918 <br /> SACRAMENTO, CA 95814-2928 <br /> VENDOR <br /> F- Page# 1 7 <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH <br /> SERVICES <br /> 304 EAST WEBER AVE 3RD FL <br /> STOCKTON CA 95202 <br /> FEDERAL TAX ID NO.OR SSAN RP TYPE TAX YR TOTAL REPORTED TO TOTAL PAYMENT <br /> IRS SUB TOTAL 110.00 <br /> GRAND TOTAL 110.00 <br />