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ti <br />DEPT: PBA-PLNG <br />FINANCE AND MANAGEMENT SERVICES <br />TREASURY MISCELLANEOUS PAYMENT <br />M-13 <br />Opr;�9AN1'1:.. <br />y^ v1 <br />V 7 <br />1 <br />DATE: 't I Z z I\ y <br />RECEIPT No.: 2018- 2 <br />NAME: j'�)AVA. <br />���a>1+0.� 1 <br />TEL No.: <br />ADDRESS: J �y 1 J <br />1.\ Cw. vofli r <br />_ N" <br />CITY: <br />STATE: CA <br />ZIP: <br />ACCOUNTING <br />UNIT <br />• DESCRIPTION <br />AMOUNT <br />01116002 51613 ADULT -USE RETAIL CANNABIS RECD FEE $ 1,690.00 <br />• <br />TOTAL: $ 1,690.00 <br />CCAN-2018- 2Z <br />VALIDATE MERE <br />Site Address: 2otoLA <br />S oax s-vre <br />City: <br />aut•=11* 424Ca3 - 2t2212a113 IDe n <br />CTYtI .......Tann ._'3+...._WlU ' <br />1�eI'� <br />-] <br />fCutCaC213514? d2212718 i1.4 <br />i' v <br />State: C k <br />ZIP: R 2 7 ® <br />Transaction �4tKNALIL <br />SPECIAL <br />INSTRUCTIONSp1NAD <br />SEND VALIDATION COPY TO: ADDITIONAL CONTACT INFO, <br />f MR Misc. <br />tql lxb602- 516130(1Q- <br />(40667043?0 <br />1r.L <br />E-MAIL: <br />NAME: <br />MAIL STATION: <br />TEL No.: <br />Email: <br />prul�:s:l`. <br />AM <br />1,t7it <br />$11610.( <br />sit69A-t <br />