Page 1
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
ALAMEDA COUNTY TREASURER 1221 OAK ST
OAKLAND CA 94612
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $0.00
Net Claim / Payment Amount $0.00
YTD Amount: $0.00
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 1
Page 2
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
ALPINE COUNTY TREASURER PO BOX 217
MARKLEEVILLE CA 96120
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $2,655.59
Net Claim / Payment Amount $2,655.59
YTD Amount: $2,655.59
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 2
Page 3
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
AMADOR COUNTY TREASURER 810 COURT ST
JACKSON CA 95642
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $47,602.14
Net Claim / Payment Amount $47,602.14
YTD Amount: $47,602.14
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 3
Page 4
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
BERKELEY CITY TREASURER 2180 MILVIA STREET 2ND FLOOR
BERKELEY CA 94704
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $26,058.11
Net Claim / Payment Amount $26,058.11
YTD Amount: $26,058.11
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 4
Page 5
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
BUTTE COUNTY TREASURER 25 COUNTY CENTER DR
OROVILLE CA 95965
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $367,527.25
Net Claim / Payment Amount $367,527.25
YTD Amount: $367,527.25
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 5
Page 6
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
CALAVERAS COUNTY TREASURER GOVERNMENT CENTER
SAN ANDREAS CA 95249
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $57,232.60
Net Claim / Payment Amount $57,232.60
YTD Amount: $57,232.60
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 6
Page 7
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
COLUSA COUNTY TREASURER 546 JAY ST
COLUSA CA 95932
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $47,487.23
Net Claim / Payment Amount $47,487.23
YTD Amount: $47,487.23
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 7
Page 8
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
CONTRA COSTA COUNTY TREASURER 625 COURT ST RM 102
MARTINEZ CA 94553
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $0.00
Net Claim / Payment Amount $0.00
YTD Amount: $0.00
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 8
Page 9
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
DEL NORTE COUNTY TREASURER 981 H ST STE 150
CRESCENT CITY CA 95531
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $51,377.24
Net Claim / Payment Amount $51,377.24
YTD Amount: $51,377.24
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 9
Page 10
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
EL DORADO COUNTY TREASURER 360 FAIR LN
PLACERVILLE CA 95667
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $213,934.59
Net Claim / Payment Amount $213,934.59
YTD Amount: $213,934.59
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 10
Page 11
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
FRESNO COUNTY TREASURER PO BOX 1406
SACRAMENTO CA 95812
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $520,219.42
Net Claim / Payment Amount $520,219.42
YTD Amount: $520,219.42
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 11
Page 12
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
GLENN COUNTY TREASURER 516 WEST SYCAMORE STREET
WILLOWS CA 95988
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $50,351.76
Net Claim / Payment Amount $50,351.76
YTD Amount: $50,351.76
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 12
Page 13
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
HUMBOLDT COUNTY TREASURER 825 FIFTH ST RM 125
EUREKA CA 95501
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $394,322.35
Net Claim / Payment Amount $394,322.35
YTD Amount: $394,322.35
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 13
Page 14
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
IMPERIAL COUNTY TREASURER 940 WEST MAIN ST
EL CENTRO CA 92243 2863
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $379,565.94
Net Claim / Payment Amount $379,565.94
YTD Amount: $379,565.94
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 14
Page 15
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
INYO COUNTY TREASURER PO BOX O
INDEPENDENCE CA 93526
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $69,336.46
Net Claim / Payment Amount $69,336.46
YTD Amount: $69,336.46
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 15
Page 16
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
KERN COUNTY TREASURER PO BOX 981240
SACRAMENTO CA 95798 1240
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $264,925.90
Net Claim / Payment Amount $264,925.90
YTD Amount: $264,925.90
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 16
Page 17
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
KINGS COUNTY TREASURER PO BOX 1406
SACRAMENTO CA 95812 1406
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $179,029.55
Net Claim / Payment Amount $179,029.55
YTD Amount: $179,029.55
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 17
Page 18
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
LAKE COUNTY TREASURER 255 NORTH FORBES ST RM 215
LAKEPORT CA 95453
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $72,209.39
Net Claim / Payment Amount $72,209.39
YTD Amount: $72,209.39
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 18
Page 19
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
LASSEN COUNTY TREASURER COUNTY COURTHOUSE RM 103
SUSANVILLE CA 96130
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $49,886.56
Net Claim / Payment Amount $49,886.56
YTD Amount: $49,886.56
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 19
Page 20
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
LONG BEACH CITY TREASURER 333 W OCEAN BL
LONG BEACH CA 90802
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $118,112.27
Net Claim / Payment Amount $118,112.27
YTD Amount: $118,112.27
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 20
Page 21
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
LOS ANGELES COUNTY TREASURER PO BOX 1859
SACRAMENTO CA 95812
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $6,627,048.73
Net Claim / Payment Amount $6,627,048.73
YTD Amount: $6,627,048.73
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 21
Page 22
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
MADERA COUNTY TREASURER C/O BANK OF AMERICA PO BOX 1859 SACRAMENTO CA 95812 1859
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $179,455.85
Net Claim / Payment Amount $179,455.85
YTD Amount: $179,455.85
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 22
Page 23
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
MARIN COUNTY TREASURER PO BOX 4220 CIVIC CENTER SAN RAFAEL CA 94913
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $447,176.12
Net Claim / Payment Amount $447,176.12
YTD Amount: $447,176.12
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 23
Page 24
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
MARIPOSA COUNTY TREASURER PO BOX 36
MARIPOSA CA 95338
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $28,618.31
Net Claim / Payment Amount $28,618.31
YTD Amount: $28,618.31
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 24
Page 25
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
MENDOCINO COUNTY TREASURER 501 LOW GAP RD 1060
UKIAH CA 95482
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $109,534.61
Net Claim / Payment Amount $109,534.61
YTD Amount: $109,534.61
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 25
Page 26
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
MERCED COUNTY TREASURER PO BOX 981311
WEST SACRAMENTO CA 95798 1311
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $68,094.51
Net Claim / Payment Amount $68,094.51
YTD Amount: $68,094.51
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 26
Page 27
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
MODOC COUNTY TREASURER 204 SOUTH COURT ST 101
ALTURAS CA 96101
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $31,233.76
Net Claim / Payment Amount $31,233.76
YTD Amount: $31,233.76
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 27
Page 28
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
MONO COUNTY TREASURER PO BOX 495
BRIDGEPORT CA 93517
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $35,745.26
Net Claim / Payment Amount $35,745.26
YTD Amount: $35,745.26
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 28
Page 29
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
MONTEREY COUNTY TREASURER PO BOX 1859
SACRAMENTO CA 95812
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $171,045.10
Net Claim / Payment Amount $171,045.10
YTD Amount: $171,045.10
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 29
Page 30
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
NAPA COUNTY TREASURER 1195 THIRD ST RM 108
NAPA CA 94559 3035
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $183,165.95
Net Claim / Payment Amount $183,165.95
YTD Amount: $183,165.95
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 30
Page 31
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
NEVADA COUNTY TREASURER PO BOX 128
NEVADA CITY CA 95959
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $113,957.77
Net Claim / Payment Amount $113,957.77
YTD Amount: $113,957.77
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 31
Page 32
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
ORANGE COUNTY TREASURER PO BOX 981024
WEST SACRAMENTO CA 95798 1024
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $565,645.80
Net Claim / Payment Amount $565,645.80
YTD Amount: $565,645.80
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 32
Page 33
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
PASADENA CITY TREASURER PO BOX 7115
PASADENA CA 91109 7215
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $39,743.25
Net Claim / Payment Amount $39,743.25
YTD Amount: $39,743.25
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 33
Page 34
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
PLACER COUNTY TREASURER 2976 Richardson Dr.
Auburn CA 95603
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $29,837.66
Net Claim / Payment Amount $29,837.66
YTD Amount: $29,837.66
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 34
Page 35
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
PLUMAS COUNTY TREASURER PO BOX 176
QUINCY CA 95971
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $51,704.90
Net Claim / Payment Amount $51,704.90
YTD Amount: $51,704.90
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 35
Page 36
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
RIVERSIDE COUNTY TREASURER C/O UNION BANK OF CA ST GOV PO BOX 4035 SACRAMENTO CA 95812 4035
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $0.00
Net Claim / Payment Amount $0.00
YTD Amount: $0.00
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 36
Page 37
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SACRAMENTO COUNTY TREASURER PO BOX 980264
WEST SACRAMENTO CA 95798 0264
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $276,214.55
Net Claim / Payment Amount $276,214.55
YTD Amount: $276,214.55
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 37
Page 38
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SAN BENITO COUNTY TREASURER COURTHOUSE 440 FIFTH ST RM 107 HOLLISTER CA 95023
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $67,530.71
Net Claim / Payment Amount $67,530.71
YTD Amount: $67,530.71
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 38
Page 39
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SAN BERNARDINO CO TREASURER PO BOX 1859
SACRAMENTO CA 95812 1859
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $616,179.68
Net Claim / Payment Amount $616,179.68
YTD Amount: $616,179.68
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 39
Page 40
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SAN DIEGO COUNTY TREASURER PO BOX 980304
WEST SACRAMENTO CA 95798 0304
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $681,472.13
Net Claim / Payment Amount $681,472.13
YTD Amount: $681,472.13
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 40
Page 41
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SAN FRANCISCO COUNTY TREASURER PO BOX 2920
SACRAMENTO CA 95814 2920
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $1,264,003.42
Net Claim / Payment Amount $1,264,003.42
YTD Amount: $1,264,003.42
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 41
Page 42
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SAN JOAQUIN COUNTY TREASURER PO BOX 981355
WEST SACRAMENTO CA 95798 1355
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $188,167.24
Net Claim / Payment Amount $188,167.24
YTD Amount: $188,167.24
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 42
Page 43
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SAN LUIS OBISPO COUNTY TREASURER PO BOX 1149
SAN LUIS OBISPO CA 93406
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $53,195.02
Net Claim / Payment Amount $53,195.02
YTD Amount: $53,195.02
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 43
Page 44
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
San Mateo County Treasurer Health Administration C/O Union Bank St Govt Dept PO Box 4035 Sacramento CA 95812
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $0.00
Net Claim / Payment Amount $0.00
YTD Amount: $0.00
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 44
Page 45
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SANTA BARBARA COUNTY TREASURER PO BOX 579
SANTA BARBARA CA 93102 0579
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $70,482.79
Net Claim / Payment Amount $70,482.79
YTD Amount: $70,482.79
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 45
Page 46
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SANTA CLARA CO TREASURER Post Office Box 980483
West Sacramento CA 95798
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $709,455.62
Net Claim / Payment Amount $709,455.62
YTD Amount: $709,455.62
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 46
Page 47
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SANTA CRUZ COUNTY TREASURER PO BOX 1817
SANTA CRUZ CA 95061
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $63,444.99
Net Claim / Payment Amount $63,444.99
YTD Amount: $63,444.99
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 47
Page 48
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SHASTA COUNTY TREASURER PO BOX 1859
SACRAMENTO CA 95812 1859
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $323,152.03
Net Claim / Payment Amount $323,152.03
YTD Amount: $323,152.03
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 48
Page 49
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SIERRA COUNTY TREASURER PO BOX 376
DOWNIEVILLE CA 95936 0376
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $9,749.76
Net Claim / Payment Amount $9,749.76
YTD Amount: $9,749.76
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 49
Page 50
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SISKIYOU COUNTY TREASURER 311 FOURTH ST RM 104
YREKA CA 96097 2944
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $86,485.27
Net Claim / Payment Amount $86,485.27
YTD Amount: $86,485.27
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 50
Page 51
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SOLANO COUNTY T TC 675 TEXAS ST STE 1900
FAIRFIELD CA 94533 6337
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $438,351.96
Net Claim / Payment Amount $438,351.96
YTD Amount: $438,351.96
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 51
Page 52
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SONOMA COUNTY TREASURER PO BOX 1859
SACRAMENTO CA 95812
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $766,760.49
Net Claim / Payment Amount $766,760.49
YTD Amount: $766,760.49
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 52
Page 53
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
STANISLAUS COUNTY TREASURER PO BOX 3052
MODESTO CA 95353 3052
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $94,501.86
Net Claim / Payment Amount $94,501.86
YTD Amount: $94,501.86
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 53
Page 54
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
SUTTER COUNTY TREASURER PO BOX 546
YUBA CITY CA 95992
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $178,747.41
Net Claim / Payment Amount $178,747.41
YTD Amount: $178,747.41
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 54
Page 55
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
TEHAMA COUNTY TREASURER PO BOX 1150
RED BLUFF CA 96080
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $117,378.73
Net Claim / Payment Amount $117,378.73
YTD Amount: $117,378.73
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 55
Page 56
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
TRINITY CO TREASURER PO BOX 1297
WEAVERVILLE CA 96093 1297
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $43,741.47
Net Claim / Payment Amount $43,741.47
YTD Amount: $43,741.47
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 56
Page 57
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
TULARE COUNTY TREASURER COUNTY CIVIC CENTER RM 103E 221 SOUTH MOONEY BL VISALIA CA 93291
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $214,645.10
Net Claim / Payment Amount $214,645.10
YTD Amount: $214,645.10
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 57
Page 58
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
TUOLUMNE COUNTY TREASURER 2 SOUTH GREEN ST
SONORA CA 95370
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $90,069.44
Net Claim / Payment Amount $90,069.44
YTD Amount: $90,069.44
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 58
Page 59
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
VENTURA COUNTY TREASURER C/O WELLS FARGO BANK PO BOX 980307 WEST SACRAMENTO CA 95798 0307
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $0.00
Net Claim / Payment Amount $0.00
YTD Amount: $0.00
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 59
Page 60
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
YOLO COUNTY TREASURER PO BOX 1995
WOODLAND CA 95695
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $30,499.62
Net Claim / Payment Amount $30,499.62
YTD Amount: $30,499.62
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 60
Page 61
CONTROLLER OF CALIFORNIA, STATE OF CALIFORNIA
P O BOX 942850, SACRAMENTO, CA 94250-0001
REMITTANCE ADVICE
CLAIM SCHEDULE NUMBER: 1500559A
PAYMENT ISSUE DATE: 12/20/2016
YUBA COUNTY TREASURER 915 8TH ST STE 103
MARYSVILLE CA 95901 5273
Financial_Activity
Additional Description:Section 17606.20(a) Welfare and Institutions Code. To be deposited in Local Health and Welfare Trust Fund-Health Account.
Allocation for the 2015-16 Fiscal Year. Per schedule from the Department of Finance.
More information at http://www.sco.ca.gov/ard_local_apportionments.html
Allocation of Local Realignment, Health Vehicle License Fees General Growth. Fiscal Year: 2015
Collection Period: 08/16/2015 To 08/15/2016
Payment Calculations:
Health Vehicle License Fees General Growth amount statewide total. 18,123,985.64
Gross Claim $145,914.42
Net Claim / Payment Amount $145,914.42
YTD Amount: $145,914.42
For assistance, please call: Mike Silvera at (916) 323-0704
12/16/2016 61
