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600 E. Main Street FAX : <br />Stockton, CA 95202-3029 <br />Phone: (209) 468-3420 <br />To: Patel Mahesh <br />Of: Kwik Serve <br />From: Michelle Henry <br />Re: Financial Responsibility <br />■ 0• 464-0138 <br />■' •. 468-8392 <br />0' 0 •468-3433 <br />Date: 10/10/2007 Time: lu:i:) am <br />FAX (209) 832-2062 <br />Voice Phone : (209) 953-7699 <br />ReplyUrgent For Review Please - Recycl <br />Comments: <br />Patel <br />The fmancial responsibility and CFO letter you submitted yesterday is incomplete. I am faxing over a <br />blank form for each and also samples completed. I also need the Return to Compliance documentation <br />on the back of your inspection report completed. If you have any questions please feel free to contact <br />me at the above listed number <br />Michelle Henry <br />STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information intended only for the use of the addressee <br />listed on this cover sheet. If the reader of this message is not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, <br />you are hereby notified that any dissemination, distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error, please <br />immediately notify us by telephone at the number listed on this cover sheet and return the original message to us at the above address via United States Postal <br />Service. We will reimburse your costs in notifying us and returning the message to us. Thank You. <br />EHD 48-01-012 FAX COVER SHEET <br />REVISED 5-4-07 <br />