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HomeMy WebLinkAboutA-23-170 DPH Misc. Docs.pdf coU�� County of Fresno o� g6 o DEPARTMENT OF PUBLIC HEALTH David Luchini, Director Dr. Rais Vohra, Interim Health Officer April 13, 2023 Department of Health Care Services Inmates Medi-Cal Claiming Unit Local Governmental Financing Division 1501 Capitol Ave., MS2628 Sacramento, CA 95814 Re: Fresno County Executed Participation Agreement and Administrative Services Agreement (FY 2023-2026) To Whom it May Concern; I have enclosed two copies each of Fresno County's signed MCIP Agreements along with a copy of the Fresno County Board of Supervisors corresponding Minute Order dated April 11, 2023. Once the Agreements have been executed by the State,please return one copy of each signed and fully executed Agreements to my attention: Shelly Awes, Staff Analyst Department of Public Health PO Box 11867 Fresno, CA 93775 Please feel free to contact me at the phone number or email below if you have any questions or concerns. Respectfully, Shelly Awes; St ff Analyst County of Fresno, Department of Public Health Email: sawes@fresnocountyca.gov Phone#(559) 600-6439 Promotion,preservation and protection of the community's health 1221 Fulton Street/P. O. Box 11867, Fresno,CA 93775 (559)600-3200 0 FAX(559) 600-7687 The County of Fresno is an Equal Employment Opportunity Employer www.co.fresno.ca.us 0 www.fcdph.org Package Express fi 1E1 `la'!ON Numb" 815 3 0 0 71, 31,9 3 F.No. 0215 1`01111 Plea epr hand sshard. y 4 Express Package Service •Tame loaatiaa:. Packagesupto150lbs. Sender's FeclEx Forpackages over 15p@:,us the ate Account Number 3 ��;.:E 24,.�6a �: FadErEvpressF.19h(USAbhllh 3ndeamers �� Phone 5,59 600--70W FedEx First Overnight FedEx2DayA.M. ❑ Earliest next business morning dalivdrytd select ❑ Sicdnd business mominp.• locations.Fridayshiiun nts uric be delivered an Saturday Delivery NOT available. TI Monday unlett Satumay Delivery Is selected. s :-�,:,; r,f ii v11 I-r ; PUBLIC[ }F edExPrior Overnight FedEx20a ]mpanV FRE ON! s COUF1s I Y I' `v,B I C �'3.�'-t�U H Next business oming.'Fridegshipments will be ❑Seeond husinessaftemoan.•Thursday shipme� delivered on Monday unless Saturday Delivery will be delivered on Monday unless Saturday 1,aalectad. Deli-yitsalso.d. ,�21 Fiji,,,,"roitif tj1 ❑' FedEx Standard Overnight FeclEx Express Saver ddfeSS Nex Wb measaftemaon.• ❑Third business day.• OaptvAoogSuhaAloom Saturday Delivery NOT available. Saturday0e5v.,NOTavaileble. tv State i,A ZIP ey::i t r�1-1`?r 15 5 Packaging •oaal.ataalaanmauoo. FeclEx bur Internal Billing Reference �y� �f�1 G"`� ❑ FedExEnvelope' ❑ FedExPak• ❑B x� ❑Tube ❑ Other st24 oh—t—Wilapplaron-1. V�-J 3 D 6 Special Handling and Delivery Signature Options Fees may apply.Soo the FedFx Service Guide. ecipient's ame Phone 1 $ ❑ Saturday Delivery. �y NOT eveilah a for FaclU Standand OvernigK FedEx2DeyA.M,orFedEx Expmse Sever. 1 j,�-CJ,F S `G�s Noksi nature Required DuectSi nature ❑andirectSi�nature 'y ee �r vi I�t� 9 Q g Indirect Sic aturedpfe fa ompany ❑ ge may be lelwahoN Someone es reclpianfc address address,someone eta naighbonng obtaining. pmn..ordelrvery, ay sign for delivery. address ma sign for delivery.For © � Q J /^ Hold Weekday eaainbal�l edasonly. L ,��' _/w/ Hold Weekday Does this shipmeMContain dangerous goods? ❑REDUIPUNDT—ilahlolel ddress a One hex must Ue dheckdd, FedEx Rrstavemighl. —� a cannot delivertd P.O.boxes or P.O.ZIP codas. peptARoodSuheatoom yeSp h. y@S Drrvv IC@ ❑Hold Saturday �.,>)iO ❑Aspdraa ca ❑ Shippers Uaclarefion ❑ onlda,%UNIa4s x k �I! Pad@�krca U dda shipa rsDaclaratlon. notregdired g ddress REOUIR 311vuilnhlo nNLYfor Fed&Pdorhy0vem�taM flesldcdons apPNlordang�rous goods—seethe curtemFedFxService Guide. Cafgn AlfCfafl Dniy Ie this line for the HOLD locefianaddress or for continuation of your shipping address. FddFx2Daym eclkcatlan. �rT � a 7 Payment Billro: i �lJ State ZIP r— Ender FedExAcct.No.or Cmdh Card No.below. —� Sender Ada Ne.msaaddr ❑ Recipient ❑Third Party ❑ Credit Card ElCash/Check s�'� 1 y� } 1 Tba filled i.i 135 152.f .1 S�.ry. �rid6tA CAN. O�ab Total Packages Total Weight Total Declared Valuet b I I 1 0 9v I I t Its $ eg C a a I I tOmllebiny1.liimitedWUSSlDD.nlessyou doctor.ah'ghd—olue.$.abackfordet is ByusingthisartbDyou L]�1 agmemaceservescendewnsontheback ofth'sairdg end md.curtamFedExService Gwd Mclud rNterms 6 thatfmhourl.bgay. Rer.Date 5115-Part 0163134.01994-2015 FedE`•PRINTED IN U.SA SPM G7 Cil t'7 to j W y T C O U O !V LL W G r� co LV O I OL1 � O ~ f FJ - OCID� ZC*'D004:B `. r Cn (37 Y C) M I Cr W T O 1 O y ,A CID U_ •4 LL tY] 'ct +W+ .-- Q CD O !A 0 Q "9 I17 LL C..7 1— 1 �` LO L.3 to •ice a s cc a) W rsa to 1-- LU C c 0J C:� aL3 W O O ¢ ++ Q co a i - ik-- OO .. tZ f O I O^3 C`'7 U3 TJ U_ Cl- Z O O G L > `U 'L�4 a3 4— L -�: O 07 c O G -F-•a¢ W a) .y •a •O i ^ Z C'7 rct7 •--Cro O T-7.. u Q I.0 (p Q 1`•- L U C � CDc`.1 U CDy s u. _ QD Co tj Q _3 G }— i..t..I— U LL C`