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MFILE RECORD INFORMATIO <br /> SNlJ <br /> ^< p^ 0ount y P r o g/Sub E l e m Coy"" No. 0"ev <br /> E . H . (assigned by clerk) <br /> P/S . E . Local Comp , Number Su Dist . Location CodeFec Ex. <br /> PPrreviioous Camp. NUMDER Effective oats Other Program Activity <br /> l_ Lam_ I I 1 <br /> 547E NAME (00 c waclora <br /> S,TEAddress (no./Dir/Street/Suffix/Suite) Site City/State/Zi <br /> el <br /> PREVIOUS DDA <br /> SS livh-L w, G%�43^t <br /> Billing Name <br /> Billing .Address (No/Dir/Street/Suffix/Suite) IBill it)a' City/State/Zip <br /> E51 WE SITE TELLi4tOrf MA.tOEH <br /> 1I Seats <br /> 1 Units <br /> OWNER R wE (00 crwacw3) . <br /> OWNER Address (No ./Dir/Street/Suffix/Suite) Owner City/State/Zip <br /> SPECIAL PROGRAM INFORfiATION No.ofSarv(ce souretof Treatment Population <br /> Conntetlon: supply Tvpt ( Served <br /> Rac. Health bJater L <br /> ADDITIONAL COMMENTS ; <br /> �( e <br /> EII 01 15 j) p ❑ <br />