Laserfiche WebLink
REMITTANCE ADVICE VENDOR— ID G 1 s OF CALIrORNIA <br /> STD.4MC(REV,4-95) S ANJ O A 'N— 3 2- THE ENCLOSED WANNANT IS IN PAYMENT OP.wE INVOICES SNOWN BELOW <br /> DEPARTMENT NAME INVOICE <br /> INVOICE DATE INVOICE NUMBER RPI <br /> INVOICE AMOUNT <br /> 01/22/96 025639 <br /> DEPARTMENT ADDRESS CLAIM SCHED.NO. 170 . 00 <br /> P . 0. BOX 942901 9512118 01:'22/96 025740 <br /> SACRAMENTO CA 94Z98-2901 170 . 00 <br /> VENWTR r <br /> PUBLIC HEALTH SERVICES <br /> SAN 70AOUIN COUNTY <br /> P . 0. BOX 388 <br /> STOCKTON CA 95201-0388 <br /> FEDERAL TAX ID NO.OR SEAN IIP TYPE TAX YR TOTAL REPOILTED TO IRS AT/0 i1dILErr 3 4 0 . 0 0 <br /> . 00 <br />