|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 
			
				|   |  | 
			
				  | Issue Date FY: 2024  ( Subtotal = $0 ) | 
			
				|   | 2024 | 2022 | PIT RIVER HEALTH SERVICE | 36977 PARK AVE | BURNEY | CA | 96013 | SHASTA | USA | Nutrition Services Incentive Program  | 3 | 3 | 3/7/2024 | OTHER REVISION | $0 | 
			
				|   | 2024 | 2021 | PIT RIVER HEALTH SERVICE | 36977 PARK AVE | BURNEY | CA | 96013 | SHASTA | USA | Nutrition Services Incentive Program  | 2 | 2 | 3/7/2024 | OTHER REVISION | $0 | 
			
				|   | 2024 | 2020 | PIT RIVER HEALTH SERVICE | 36977 PARK AVE | BURNEY | CA | 96013 | SHASTA | USA | Nutrition Services Incentive Program  | 1 | 1 | 3/7/2024 | OTHER REVISION | $0 | 
			
				 | 
			
				  | Issue Date FY: 2022  ( Subtotal = $4,906 ) | 
			
				|   | 2022 | 2022 | PIT RIVER HEALTH SERVICE INC | 36977 PARK AVE | BURNEY | CA | 96013 | SHASTA | USA | Nutrition Services Incentive Program  | 2 | 1 | 5/9/2022 | NEW | $4,906 | 
			
				 | 
			
				  | Issue Date FY: 2021  ( Subtotal = $4,911 ) | 
			
				|   | 2021 | 2021 | PIT RIVER HEALTH SERVICE INC | 36977 PARK AVE | BURNEY | CA | 96013 | SHASTA | USA | Nutrition Services Incentive Program  | 1 | 1 | 3/30/2021 | NEW | $4,911 | 
			
				 | 
			
				  | Issue Date FY: 2020  ( Subtotal = $4,911 ) | 
			
				|   | 2020 | 2020 | PIT RIVER HEALTH SERVICE INC | 36977 PARK AVE | BURNEY | CA | 96013 | SHASTA | USA | Nutrition Services Incentive Program  | 0 | 1 | 4/10/2020 | NEW | $4,911 | 
			
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