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FROM PHUNt HIJ. : 20*9 X6,9 4L;9 _Nov. 1,1 20IJ_1 1 i:U�6kr'i Pte' <br /> NVIR©Ncl AL NE.AI_TH <br /> NO V 4 2000 vos iAs-r A=CWT=CA= R=?, 315 <br /> ENORGNPiitf.T HEALTH CORD R�Z ,APPLICATION <br /> - i <br /> ' PUBLIC ft� <br /> PFRf�„CF � _ — —w <br /> Aa9�tsC�xT r i t �, I ti a 1 1 t-` s ssx� "iGt L. O- Atv h�r� I" a SSD G . <br /> ---r--- <br /> ADJ' UG -I--D <br /> ltii LA t�3 L C}i l Gf {f7 <br /> vtiaut ?_tx- 3Lv , v� i �A. taz: —. p�f 4228 <br /> -; <br /> (pl0aso prvt T to t4'sualaa.c dabs ts'an Q3ts of iG�pa aa�mitSal) <br /> CSt�C44 RCX f�DCPCSsrCs!RtEQtII 3T-z7 <br /> ad:%&Ulm=tx&yz f <br /> SiGA1ATURm aF APPL CANT DATE <br /> a it �i D �I c't 15c.\ Wa S}ar �m S C•'�5 �JJ �` :� ' <br /> /0 2 tom' Sv S /r > I S <br /> *7 �'iEr1 � O L-ost", We i n fr WOO*V <br /> Mc <br /> Me a� 7o O ,S"T� 1 <br /> TzvC cel S X22 P, -:�on 5 <br /> L1tApr I ROil (UM Lip WM VXV) C3 4MLV*2 ABA7EV1rbFT II Stri.W VT XW PAC; M <br /> U3t MGPXA*M Tic MW , A14 C 01YGMAN&L oAMY <br /> ey�a�cta wat�sac> azr a czacm6A t"TRMAT TPLAW O <br /> a m rrs�'+ �muzz <br /> a 7A.�Pwwx;w4 G roc raa a LA=LZ9 PfflK�T=Qt'2S <br /> SL1 I:ALYfAaM FAC .srt Q FK.ti=w►TEFt SYSTt d a omit(MXJZXSPzc#;AZ= 9 <br /> Z. LIM up to twat adgress,as in dtte Spws ubova. 3XWci tha typt{s)of tiWs tram uw Mt above by chtacking W <br /> the up1m bo*cs). At Iwai arta fp•typm mUST ba sv ctc *r+�1�-0t��ar til to tote <br /> 1 <br /> 2. EHO wW natlty the apgacarrt if any EI.1D iilca txis L An appotntr;wat for ra0m+wilt ba+rammed <br /> apprmdmabely thus business days;taut no iatfu than Sats(im days after'rweipt.af eppu4mdar- 7ba tn" <br /> w3fi tso lutaid i`w tz rrzaxttrstam of firs trxasnoss days for r®viaia:. Rppatrt�smtir shnrsld i10 ss:ttet3tt{a�t <br /> accott3ittgly. <br /> 3. A R4 drat is=dvwlY t>,Dinc3 warkod on by EliD sof may not be itmsstodiatdy avallabia for r"isw. A aaw <br /> apptkwion=y ba a:sbmitt&d tr hon the filo Is avgilablsi. <br /> A. Any tics not tvUvned in th*sautsa ca ndiUan ars rele4sed will ba raoTZz LMd by EM awt at tlse expsnae <br /> of @!:m sppEk-na,tI Future file fd)naw,by trim rima&;*r cam rrtsty requirt►a S7ELU depuait prior to taviow. <br /> S. 'FEITA4 i TVE appoinbuo tt oaten m"-t kra coafim w vAth mo stet, <br /> G. ApFticxtiorts r=ivad aPtsr 3:011 past will be proaersns:d the nazi buzinnan clay_ <br /> CONFRMED Alii QTx-rl; EM DATE 'RM F- <br /> DA-M COUF1RMED PH0NE FAX (NmALS <br /> FZEVtENVED YES No Rt-.7111r=7w DA's', <br /> tNIOV 15 L .�n <br />