This government document is issued by Elections Department for use in Tehama County, CA
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https://www.co.tehama.ca.us/images/stories/taxcollector/claimep.pdf?phpMyAdmin=EnoGFkv%2Cc7dMRvqgsDQTPHxadm3&phpMyAdmin=dbe9156cbc4ca14cb7aebd15243fd0e1