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REMITTANCE ADVICEL--'i%.."1) D STATE OF CALIFORNIA <br /> STD.4 <br /> THE ENCLOSED WARRANT IS IN PAYMENT OF THE INVOICES SHOWN BELOW <br /> DEPARTMENT NAME ORG.CODE INVOICE DATE INVOICE NUMBER RPI <br /> INVOICE AMOUNT <br /> Of- 1"AK'KS, {:_I)Y1:13e:. <br /> DEARTMENT ADDRESS <br /> CLAIM SCHED.NO. <br /> 2 , <br /> 9112896 1 :)J 12 <br /> A W <br /> VENDOR <br /> F� <br /> s r 0 c K T 0 11 (,A 93,2102' <br /> c- <br /> 6,'--'; 015 <br /> FEDERAL TAX ID NO.OR SISAN RP TYPE TAX YR TOTAL REPORTED TO IRS TOTAL PAYMENT <br /> 5-3,2 <br /> 100 <br />