Subject : Dear Sir, We thankfully acknowledge the receipt of your cheque nNo. Get the Notice of Acknowledgment and Receipt (form FL-117).Fill in the top part with the information about your case. The purpose of this referral is to recognize EMS personnel who provided exemplary patient care, going above and beyond standard care in a particular incident. 2800 7th Street Berth 30 - 32 Oakland, CA 94607 Firms code: Y549 Port code: 2811 Phone Numbers Customer Service: 877-387-2722 Instructions: Check the items below that apply to you and provide any required information. Submit this form to the court clerk along with your complaint and,. We are acknowledging receipt of your application on (date of receipt). To order a birth certificate you will need: Name of the child at birth; Date of birth; City of birth; The mother's maiden last name. To obtain a P-Card, complete an Oakland University Purchasing Card.