Laserfiche WebLink
Sot', JOA UIN <br /> Q LOCAL HEALTH DISTRICT <br /> MASTER FILE RECORD <br /> DATE <br /> NEW <br /> CHANGE <br /> DELETE <br /> DISTRICT %` – C014PUTER NO. INC. CITY <br /> DBAx� c�'1Q� �GGt ►'` <br /> PREMISE BUSINESS <br /> ADDRESS PHONE <br /> BILLING NAME <br /> & ADDRESS <br /> OWNER NAME <br /> & ADDRESS <br /> FEE INFORMATION FEE BASE FEE EXEMPT-- <br /> OTHER <br /> XEMPT OTHER PROGRAM <br /> ACTIVITIES <br /> PREVIOUS COMPUTER NO. <br /> PREVIOUS DBA <br /> EFFECTIVE DATE (If different) : �z/ 'aa— SANITARIAN <br /> COhi(4EN �� CHECKED BY- <br /> ACCOUNT CLERK <br /> �IA <br /> FILE CLERK <br /> EH 00 15 REV11/83 11/84 500 <br />