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E <br />W-RETURNABLES <br />gr_whtrn-storlasr <br />MANIFEST <br />Page: <br />352 <br />Cust. '1: 15152 <br />DEVOS LTD., DBA GUARANTEED RETURNS <br />Store #: 5793 <br />1.04 " <br />100 Colin Drive <br />Batch 151 <br />11 <br />Holbrook, NY 11741-4306 <br />Acct. 4; 805663 <br />(DEA4: RD0188311 EPA#: NY0000997692 <br />Print Date Mar 2, <br />2005 <br />Phone: (209) 835-4141 <br />Customer: DEUEL VOCATIONAL INSTITUTION <br />Address 23500 KASSON <br />ROAD <br />P.O. BOX 400 <br />- PHARMACY DEPT. <br />Credits passed through: 15152 Wholesaler: <br />MCKESSON-26 <br />TRACY, CA 95376 <br />Cust Ref #/Debit#: GRX15152151 <br />Address: 3775 SEAPORT BLVD. <br />Contact VINCENT <br />Service Date: 02/11/05 <br />182-W. SACRAMENTO, <br />CA 94403 <br />Dea 4 AV3309831 <br />QUANTITY <br />DEA <br />REASON <br />VENDOR <br />F I P SIZE <br />STRENGTH DRUG NAME <br />NDCNO CLASS EXPIRES PRICE <br />CODE <br />FOUGERA <br />5.000 1.00 <br />0 FLUOCINONIDE. CREAPI <br />i680139i5 R <br />1S.00 <br />26 <br />GAMMA BIOLOGICALS <br />1.000 10.00 <br />N/A ANTI -A <br />435 R <br />15.00 <br />06 <br />HOSPIRA WORLDWIDE <br />1.000 10.00 <br />100MG LIDOCANE <br />74132305 R <br />16.80 <br />IVAX <br />4.000. 1.00 <br />17GR ALBUTEROL INHALATION AEROSOL <br />172439018 R <br />14.00 <br />JANSSEN/ORTHO/MCNEIL <br />1.000 100.00 <br />250MG LEVAQUIN <br />45152010 R <br />742.96 <br />28 <br />803.76 <br />Total Items: <br />12 <br />REASON CODE KEY: <br />28 NOT ELIGIBLE FOR <br />CREDIT <br />06 WHSLR RTN. NO CHARGE <br />E <br />