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09/06/2012 07:32 2093696442 DELTA ST2 PAGE 01/04 <br /> FAX COVER SHEET <br /> Delta Rehabilitation and Care Center <br /> 1.334 South Ham Lane <br /> Lodi, CA 95242 <br /> (209)334-3825 <br /> Fax(209) 224-5262 <br /> Send to: •y�1 From: <br /> Attention: 6 ! � � Date: <br /> Office Location: [! Office Location: <br /> Fax Number: Phone mber: <br /> 33 <br /> Urgent ❑Feply ASAP Please Comment Please Review F7For Your Information <br /> Total Pages Including Cover: <br /> If any pages are not received,please contact Delta Rehab immediately. <br /> Comments: <br /> AWG1t ///�- 44 <br /> ' <br /> Confidentiality Statement <br /> This FAX is intended for the use of those to whom it is addressed and may contain information that is privileged,confidential,and exempt from <br /> disclosure under applicable law(s). If the person receiving this is not the intended recipient,employee or agent responsible for delivering this <br /> message to the intended recipierlit,you are hereby notified that any dissemination,distribution or copying of this communication is strictly <br /> prohibited. If you have received this FAX in error,please call(209)334-3825 immediately and return the original to us.Thank you. <br /> Received Time Sep. 6. 2012 7: 33AM No, 0245 <br />