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t,v JOAQUIN LOCAL HEALTH DISTRIX <br /> MASTER FILE RECORD <br /> DATE <br /> NEW <br /> //'' ^� CHANGE <br /> I/L-VIderq rcu- V\, A / �(n� DELETE <br /> DISTRICT _ C014PUTER N0. _ - <br /> _ _ _ _ _ INC. CITY <br /> DBA <br /> PREMISE C�/ta� // BUSINESS, <br /> • ADDRESS ,2Sr`/�'S S, �� PHONE � <br /> BILLING NAMEAlG% <br /> & ADDRESS d <br /> OWNER NAME <br /> �L <br /> & ADDRESS <br /> FEE INFORMATION FEE BASE FEE EXEMPT <br /> OTHER PROGRAM <br /> ACTIVITIES <br /> PREVIOUS COMPUTER NO. <br /> PREVIOUS DBA <br /> EFFECTIVE DATE (If different) : SANITARIAN <br /> COMMENTS: <br /> CHECKED BY <br /> ACCOUNT CLERK <br /> {In <br /> FILE CLERK <br /> EH 00 15 REV11/83 11/84 500 <br />