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1 <br /> P <br /> xac taraQUIW Iacac z H acct a <br /> �y rY �r fir. p ., <br /> 16(il G.NazeCi—`aitxr'�1 venU1 <br /> J�hhj� 5f'Q C�CTom L,.rL� iVY17l a�; 'ygvyti��W <br /> rTO- <br /> n <br /> �n p &TIDE' TIl' AffXTE <br /> "' ❑ �1 Owner Date of:Inspection t9 <br /> liddress <br /> I r4 J Q F yCrEl <br /> !$� <br /> -Ly .ypeEor EstabrrslrRrerit d 'i" <br /> ❑ .. <br /> rC, G , <br /> T <br /> o E Q- <br /> o E 40 <br /> 1° <br /> Z LL U J rLA.O D rr <br /> _.. , <br /> te <br /> � � r <br /> I r tl s <br /> n V' �'t •V <br /> •I nN7 IM, <br /> �_ � ' Carrectror� !t► sdModer esetore- � <br /> Remarks' <br /> -.;Feilure,cit your parr o compl wit[_rtkis.Notice will subject,' ;a,ta�penvltias prescribed b <br /> saidO►dinarrce. <br /> Received Notice- ii <br /> CU By order of <br /> v L n <br /> JbG! KffANPfA, M.D:, District_Healtit Officer <br /> E <br /> By <br /> EK OQ 1¢ Smitarian <br />