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*No1V <br />-JRE <br />ES <br />qr, whtrn-::torlaer <br />y V.CE.NAS L 1'1A 1 <br />L <br />Pages <br />2 <br />StOTr #: 5793 <br />era rfnms^ <br />DEVOS LTD,, DHA GUARANTRRO RETURNS <br />100 Colin Driv6 <br />Batch 147 <br />JLX <br />Holbrook, NY 11741-4306 <br />cct. #; 605663 <br />(DEA#: <br />RD0I9®311 EPAµ: NY0000997692 <br />) Print Date <br />: <br />Dec 16, 2004 <br />Phone; <br />(209) 836-4141 <br />Customor,: DEUEL VOCATIONAL INSTITUTION <br />Address 23500 KARSON ROAD <br />P.O, BOX 400 - PHARMACY DEPT. <br />Credits passod through: 15152 Wholesaler: MCWSON-26 - <br />TRACY, CA 95376 <br />Cust Ref #/Debit#-. GRX7.5a.92147 <br />AdaXesa: 3775 <br />SEAPORT BLVD, <br />Contact ESPERANZA <br />Service Dates 10/19/04 <br />192-W. SACRAMENTO, CA <br />94403 <br />pea # AV3309821 <br />QUANTITY <br />ORA <br />REASON <br />VENDOR <br />F I P <br />SIZE <br />STRENGTO <br />DRUG NAME <br />NDCNO <br />CLASS EXPIRES <br />PRICE <br />-_---- <br />CODE <br />------ <br />..ate.--------... ----- <br />PSG.RICHARDSON-VICK$ <br />....... I.._ <br />.167 <br />------ <br />30.-00 <br />`----'_g' <br />5MG <br />_......----------------------------- <br />ACTONEL <br />........... <br />149047101 <br />..... <br />R <br />....ate:= <br />10.09 <br />06 <br />PAR PHARM <br />.500 <br />100.00 <br />5 MG <br />PROCHLORPERAZINE MALEATE TAR <br />4998454901 <br />R <br />13.50 <br />02 <br />PUREPAC <br />.850 <br />100.00 <br />10 MG <br />NIFEDIPINE <br />220249710 <br />R <br />11.90 <br />02 <br />QUALITEST <br />.050 <br />1000.00 <br />10 MG <br />DICY.C%OM$NE HCL <br />603326532 <br />R <br />4.94 <br />02 <br />OUALITEST <br />-450 <br />100.00 <br />1/100 GR <br />COLCHICINE <br />603305221 <br />R <br />4.68 <br />02 <br />ROCH1:/SYNTEX <br />1.000 <br />10.00 <br />500 MG <br />ROCEPHIN <br />4196301 <br />R <br />05/02 <br />238.97 <br />01 <br />ROXANE <br />130 <br />100.00 <br />200 MG <br />MEXILETINE <br />54261725 <br />R <br />05/03 <br />10-69 <br />01 <br />TEVA PHARM. <br />.800 <br />100,00 <br />90 MG <br />DILTIAZEM HCL <br />93032001 <br />R <br />04-05 <br />0/ <br />TEVA PI•IARM. <br />.500 <br />1000.00 <br />250MG <br />PENICIT.-LIN - VK <br />92117110 <br />R <br />07/03 <br />7,06 <br />01 <br />TEVA PHARM. <br />.900 <br />100.00 <br />25 MG -10 <br />CARBIDOPA AND LF.VOOOPA <br />92029301 <br />R <br />51.22 <br />02 <br />TEVA PHARM. <br />.750 <br />100,00 <br />100 MG <br />CARBAMAZEPINE <br />93077901 <br />R <br />13.86 <br />02 <br />TEVA PHARM. <br />1.000 <br />1.00 <br />0.054 <br />FLUOCINONIDE <br />93026415 <br />R <br />05/03 <br />15.93 <br />01 <br />TEVA PRA;ARM, <br />.G00 <br />100.00 <br />1.25MG <br />GLYBURIDE TABLETSrUSP <br />93834201. <br />R <br />11.02 <br />02 <br />VDL <br />1.000 <br />100.00 <br />400MG <br />IDUPROFEN <br />5107928120 <br />R <br />03/02 <br />6.85 <br />01 <br />UNITED RESEARCH <br />350 <br />100.00 <br />100 MG <br />PHENAZOPYRIDINE <br />677057501 <br />R <br />3.30 <br />02 <br />vPASAPHARM <br />.500 <br />100.00 <br />100MG <br />ETHAMBUTOL <br />61,74801101 <br />R <br />22.95 <br />06 <br />WEST -WARD <br />.100 <br />1000.00 <br />300 MG <br />ISONIAZID <br />143126110 <br />R <br />03/04 <br />5.92 <br />01 <br />WYETH/AYERST/LEDERLE <br />,000 <br />100.00 <br />2 MCS <br />TENEX <br />21990363 <br />R <br />.00 <br />26 <br />-__3294.16 <br />TOtAl <br />Items; <br />09 <br />REASON COPE KRY: <br />01 OUTDATED PAST VRNOOR POLICY <br />02 VENDOR ACCEPTS FULL PACKAGES ONLY <br />21 VENDOR DOES NOT <br />ISSUE CREDIT POR THIS <br />PRODUCT <br />26 RECEIVED EMPTY <br />is 06 WHSLR RTN. NO CHARGE <br />