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orqurN <br /> 2 Z <br /> Joaquin Co <br /> ealth <br /> • nt' ill1i <br /> • �R�%F'OR�`P• <br /> artme <br /> 304 E Weber Avenue FAX ##: Q (209) 464-0138 <br /> 3rd Floor, Stockton, CA 95202 <br /> Phone; (209) 468-3420 a (209) 468-8392 <br /> O (209) 468-3433 <br /> FAX Date: �ry � Time: <br /> # of Pages (including this sheet): <br /> To: W a4 <br /> iris <br /> Fax: s�o 5.511,11r 9//9 <br /> Of: <br /> From: Voice Phone #: <br /> Re: <br /> O Urgent O For Review O Please Reply O Please Recycle <br /> Comments: � rr <br /> Z `tom Jfera&4s <br /> A/4 f <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 Fecipient• <br /> you are hereby not'i6ed 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 retuming the message to us. Thank You. <br /> EHDREV 1-012 <br /> FAX COVER SHEET <br /> REVISEDSED1I <br /> i " <br />