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gr_whtrn-c2invt <br />Cust. #: 15152 <br />Store R: 5793 <br />�ntch 8: 147 <br />Ct. #: 805662 <br />Customer: DELTEL VOCATIONAL INSTITUTION <br />Addreea : 23500 KASSON ROAD <br />P.O. BOX 400 - PHARMACY DEPT <br />TRACY, CA 95376 <br />Contact ESPERANZA <br />Ona 0 AV2309831 <br />CII MANIFEST <br />INVM;!NTORY OF SCHEDULE I1 PHARMACEUTTCALS <br />GUARANTEED RETURNS <br />100 Co1i.n DriV , Holbrook, NY 11741-4306 <br />(DEM : RD0188311 EPA#: NY0000997692 ) <br />SCHEDULE II PRODUCTS REPORTED TO <br />MANUFACTURERS FOR CREDITING <br />CUst Ref #/Debit#: GRX15152147 <br />Service Ovte! 10/19/04 <br />Paga: I <br />Print Datc : Dec 16, 2004 <br />Phone: (209) 835-4141 <br />wholc3oler: MCKHSSON-26 <br />Addre5a: 3775 SEAPORT BLVD - <br />j92 -W. SACRAMENTO, CA 94403 <br />TOTAL COST Or RETURNABLE PRODUCT: <br />16,0 R SERVICE PEE <br />ESTXMATED CREDIT ISSUED FROM VENDOR <br />Total Item..5 <br />REASON CODE KEY: <br />02 VENDOR ACCY.PTS FULL FACKAGES ONLY. <br />11 NOT ELIGTALE FOR CRSDLT <br />v <br />.7 <br />00 <br />00 <br />20 VENOOR DOES NOT AC0',PT PRESCRIPTYONS <br />Return <br />Non -Ret <br />Ras_on <br />.QUANTITY <br />SIZE <br />STRENGTH DRUG NAME <br />NOCNO <br />Lot. 0 Amount <br />Amount <br />COIiR <br />VENDOR <br />F P <br />asses r...-� .. <br />s--.......®---����. <br />-. -.. <br />.o=L=_ - <br />-- <br />------- --..,.rs <br />ss--�.ss <br />=_ ......s <br />-10.00 <br />ss------ ..ss- --------- ==-- •se=e=n_..... <br />75 MG/ML DEMEROL HYDROCHLORIDE <br />74111902 <br />9154032 <br />5.52 <br />02 <br />ABBOTT HOSP <br />ABBOTT <br />-ROO <br />200 <br />100.00 <br />2 MG HYDROMORPHO142 RCL <br />5817729804 <br />PRESCR, PO <br />8.53 <br />20 <br />ETHEX <br />JANSSEN/ORTHO/MCNE11, <br />.7.00 <br />5.00 <br />100 MCG DURABEoIC PATCH <br />50458003605 <br />6412036 <br />47.68 <br />1218.7.9 <br />11 <br />20 <br />PURDUE9011010710 <br />RDUE FREDERICK <br />11550 <br />100.00 <br />00 MG OXYCONTIN <br />PREBCR. BO <br />TOTAL COST Or RETURNABLE PRODUCT: <br />16,0 R SERVICE PEE <br />ESTXMATED CREDIT ISSUED FROM VENDOR <br />Total Item..5 <br />REASON CODE KEY: <br />02 VENDOR ACCY.PTS FULL FACKAGES ONLY. <br />11 NOT ELIGTALE FOR CRSDLT <br />v <br />.7 <br />00 <br />00 <br />20 VENOOR DOES NOT AC0',PT PRESCRIPTYONS <br />