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t%21198 11:4$ %T2.Afl94320i96. MBP <br /> ! 12-21-1959 18=!-0fy9 FRI `? �`ICLI TO 943.-045 P.02 <br /> i <br /> SAN 3aAQaN COL Nry Punic FILTH sERVZ= <br /> F&I-NMONUMNTAL HEALTH O ON <br /> (M 468-3420 <br /> AUTHORiZ.ATTON TO RELEASE <br /> ANALY MAL RB5IXTS <br /> *GEr OTEMBOCAL D&TA <br /> * <br /> 'BNVM0MMZNTAUaM ASS T"1 PORMA'TION <br /> i <br /> i,THE uNDERMONED OWNER ANDIOR iOPFRATOR QP THE PIZOMTY A1VDMRFACULMY <br /> LOCATED AT <br /> HERERY AU-MOR= <br /> TpRL a eE ANY AND ALL ANALYTI AL 3NFORMA770M TO S"JGk.QUW COUNTY PUZ"C <br /> h133ALIH SF.TtL Njwm AL H&aj_Tn Dtv=DN AS S44N As YT L5 I vAH ABLE AND AT THE SA.%M <br /> li <br /> Tnbffi 1T M PIMMED TO M5 Olt MY RFPRESEN TATIYE. <br /> WSITF=NAM; <br /> •lpp1 <br /> Sr raJ � <br /> PRONE: r 4q 2�&71J <br /> EA 23ods Moviand is19M Paz&9, <br /> TOTAL P.ER <br /> 12/21/9B 11:25 TXM NO.8638 P.002 <br /> 12-21-1996 10:34AM 2099432046 P.02 <br /> E <br />