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Get Ca Lasc Mh 005 2020-2024

Eby declare under penalty of perjury that the following is true and correct: That I have delivered or mailed a copy of the Petition for Re-appointment and Notice of Hearing to the following agencies on the date indicated: Mailed Hand-Delivered Date: Director of Health, State of California Bureau of Patients Accounts 1600 Ninth Street, 2nd Floor South Sacramento, CA 95814 Date: Los Angeles County Public Defender 6464 Sunset Blvd., Suite 810- 8th.

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