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KMITTA�NCE ADVICE • <br /> RE <br /> ST <br /> 0.40TC V.11,89, 0 <br /> TV T STATE OF CALIFORNIA <br /> DEPARTMENT THE ENCLOSED WARRANT IS IN PAYMENT OF INVOICES AS SHOWN BELOW. <br /> DEPT"NO. <br /> INVOICE DATE INVOICE NUMBER <br /> HP <br /> T <br /> ()I-.!PAPTME.-'NT tjlz' p.-,1,'.:11'H Arl <br /> P _ (� RE INVOICE AMOUNT <br /> EN AD <br /> DEPARTMENT <br /> )00 0 IND <br /> 0 P. <br /> CLAIM SCHEID N I. <br /> J.6 9*Y*I.-1 <br /> SACJ'�W)MENTT) A S"II/1 2 6,41 <br /> F VEINI 7:D* :1.r.1999 0 <br /> 7 4PR C 3 1991f <br /> VENDOVENDOR: 1C II-'AII b-j SEII:1.C�.::,, <br /> P-o <br /> 17 C) x �.' 009 SAI`4 JOAQUIq Cr,'_ <br /> )OA(Qjj.I:N (:,(.')LJN'YY PUBLIC HEALTH Sc'RV"iC <br /> S*1'(.')(*,'I<'Y(IN CA 9�4520,1. ACCOUNTING <br /> 0'D�ke' <br /> EDEPAL TAX ID NO OR SEAN RP TYPE TOTAL REPORTED TO IRS(SEE RMS, 00 <br /> .11III—This amount will be reported in accordance With Section <br /> 6041 of the Internal Revenue Code <br />