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MAS'j'H FILE RECORD INFORMATION F&-IM <br /> „Ct,o„ S lJ E <br /> Count Prog/Sub Elem - <br /> (—❑❑ C:ornpulw No <br /> L <br /> E . H . (assigned by clerk) <br /> � P❑ . E . Local comp . Number <br /> Su Dist . Location Co de Fee Ex. <br /> o3 -;1- 3 / 9 . <br /> Previous Camp, NVMOER ❑I ❑ <br /> Effective owls Other Program Activity <br /> SITE NAME / C �_ <br /> 1�cTtmacl0(e) <br /> Brea iLce/�cvt a/SPvdic es /arc <br /> &TE Address (no./Dir/Street/Suffix/Suite <br /> ) Site City/State/Zi <br /> /�tOS N. Z3l2a It _j <br /> �f,F�, Cr¢ 9S�os <br /> PREVIOUS DOA (f/9,0 <br /> Billin Name <br /> /�rCa � �cccl/ur4/�2�vlcPs - <br /> dilling Address (No/Dir/Street/Suffix/Suite} Billina' Ctty/State/Zip <br /> G9iso2oSJ <br /> ESI SIZE �❑ &TE TELEPvs0r.E NVttaEN <br /> ❑❑J / Seats <br /> Sq <br /> . Ft. <br /> OWNER RAME (:)a crwzcta3) 1 Un 1 tS <br /> UvNER Address (IJo./Dir/Street/Suffix/Suite) Owner Cit <br /> Y/State/Zip <br /> �D, B, X600 <br /> SPECIAL PROGRAM INFOPCIATION <br /> No, n tions source of <br /> Conneetlant supply Type <br /> Population <br /> Rec. Health , �❑ Tvoe ❑❑❑ <br /> rJater ❑ <br /> ADDITIONAL COFIMENTS : <br /> San. Sup. AC SC <br />