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04/02/2014 08:36 12092245264 DELTA REHAB AND C6 PAGE 01/02 <br /> FAX SHEET <br /> Delta Rehabilitation and Care Center <br /> 1334 South am Lane <br /> Lodi, CA 95242 <br /> (209)334-3825 <br /> Fax (209) 224-5262 <br /> Send ` <br /> From: <br /> 1 <br /> Attention: <br /> —.. 6 �� �J R 14 <br /> bate; <br /> Office,Location: <br /> r r <br /> /✓ Office Locat n: <br /> Fax Ntlmher, <br /> 1'honc Number: <br /> ❑Urgent E-�]Reply ASAPPlease Comment <br /> ❑ L]Please Review ( For Your Information <br /> Total PRges Including Cover: �" <br /> If any pag"are not received,please contact Delta Rehab immediately. <br /> Comments: <br /> C� <br /> A 4or- <br /> - 7 --r- <br /> -T#Wvk <br /> C r <br /> Confidentiality Statement <br /> This FAX i5 intended for the use of those to whom it is Addressed and May contain information that is privitcRed,confidential,and One from <br /> disclosure under applitahlc law(a), If the person receiving this is not the'intended recipient,employee or agent responsible for delivering this <br /> message to the intended recipient,ynu are hcrch notified that any dissemination,distribution or copying Of thiS comtitunication is stricdv_ <br /> mohihitcd. if you have received this FAX in error,ricase call(209)314-3925 immediately and return the original to us. Mank you. <br /> Received Time Apr. 2, 2014 8: 37AM No, 0993 <br />