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Attachment C <br />(County/City/ Tribab Jail <br />(Street Address) <br />(Address) (Phone number) <br />Jail Bed Rehh1toement Form <br />Offender Housing Invoice BILL TO: WA State Department of Corrections <br />(Month) 2015 <br />Attn: Violator Desk <br />Tota( Amount ($00.00) PO Box 41149 <br />Olympia, WA 98504 <br />(360) 725.8620 <br />Daily Bed Day Rate: $65.00 DQCVIola)orl�edbjliinesuSDOCl 4Vr( <br />State of Washington K9561 (4) Page 25 of 25 <br />Department of Corrections 158362 <br />