![](https://www.pdfsearch.io/img/39b27469f1279c9f85146c4f4c4242d9.jpg) Date: 2007-03-23 17:46:11
| | STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF SOCIAL SERVICES 744 P Street, Sacramento, California 95814
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