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"I' ad ctSMAS* FILE RECORD INFORMATION F M <br />SWEEPS <br />Ac- teon county P r o g /Sub E l e m UnVutw No. <br />E.H. (assigned by clerk) <br />P/S.E. Local Com . Number Su Dist. <br />F. d A I K I >j I A I r 7---1 10 131 .2- <br />Previous Comp. NUMBER Effective oats <br />SITE NAME (BO ctwacla(e) <br />10 CC)yj -Q,, ",-5 Co rp0�-►' ?7 <br />SITE Address (no./Vir/Street/Suffix/Suite) Site Ci <br />r/i 4f- CPClF0 0 �$11 <br />PREV I-O-U�S—OElA <br />/State/Zi <br />Location CodeFee Ex1 0 <br />.. <br />Other Program Activity <br />-wl 9r� Q6 <br />33.6`/ -�o✓► s <br />M— - <br />Billing (Jame _ <br />J )' Y11 <br />di l l i ng Address (No/Dir/Street/Suffix/Suite) Bill i ng, Ci tv/State/Zig <br />EST SIZE <br />It Seats <br />TIS%ntts <br />Ft. <br />OWNER NAME (BO Cl`Wa-Cle(3) . <br />SITE TELEi4sC*:E NUMBER <br />11 11 '-�j 4 1 �- j I �j c) I 3:E <br />LMNLFiAaaress kilo./uir/titreet/5urtix/Suite) uwner city/tate/tip <br />SPECIAL PROGRAM INFORMATION No. of Serv(ei source of Treatment Population <br />connt"lont supply Type Served <br />Rdc. Health bJa to r <br />ADDITIONAL COMMENTS: <br />San. <br />Q <br />Sup. <br />C <br />AC <br />q <br />cc <br />� <br />c <br />S <br />SITE Address (no./Vir/Street/Suffix/Suite) Site Ci <br />r/i 4f- CPClF0 0 �$11 <br />PREV I-O-U�S—OElA <br />/State/Zi <br />Location CodeFee Ex1 0 <br />.. <br />Other Program Activity <br />-wl 9r� Q6 <br />33.6`/ -�o✓► s <br />M— - <br />Billing (Jame _ <br />J )' Y11 <br />di l l i ng Address (No/Dir/Street/Suffix/Suite) Bill i ng, Ci tv/State/Zig <br />EST SIZE <br />It Seats <br />TIS%ntts <br />Ft. <br />OWNER NAME (BO Cl`Wa-Cle(3) . <br />SITE TELEi4sC*:E NUMBER <br />11 11 '-�j 4 1 �- j I �j c) I 3:E <br />LMNLFiAaaress kilo./uir/titreet/5urtix/Suite) uwner city/tate/tip <br />SPECIAL PROGRAM INFORMATION No. of Serv(ei source of Treatment Population <br />connt"lont supply Type Served <br />Rdc. Health bJa to r <br />ADDITIONAL COMMENTS: <br />San. <br />Q <br />Sup. <br />C <br />AC <br />q <br />cc <br />