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REMITTANCE ADVICE STATE OF CALIFORNIA <br /> STD.404C(REV.4-95) 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 1760 04/25/00 AR0016961/ 110.00 <br /> DEPARTMENT ADDRESS CLAIM SCHED.NO. <br /> 1325 J STREET 99007599 <br /> SACRAMENTO, CA 95814-2928 <br /> VENDOR <br /> Page# 1 —1 <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 PAYft <br /> IRS bUtS TOTAL 110.00 <br /> GRAND TOTAL 110.00 <br />