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Paris -Lamar County Health Department <br />Public Information Request <br />NAME OF PERSON REQUESTING INFORMATION: <br />NAME OF FIRM OF COMPANY REPRESENTING <br />(IF APPLICABLE): <br />Ls <br />ADDRESS: <br />PHONE NUMBER: <br />DATE AND TIME OF REQUEST: <br />DESCRIPTION OF PUBLIC RECORD(S) BEING REQUESTED: <br />Q <br />SIGNATURE OF PERSON <br />APPROVAL FCkRELEASE OF PUBLIC RECO <br />ROUTED TO: <br />DATE RECE <br />ACTION BY STAFF: <br />APPROVAL MUST BE GIVEN BY THE EXECUTIVE DIRECTOR AND <br />CHAIRMAN: / <br />EXECUTIVE DIRECTOR <br />0 <br />INFORMATION <br />OF HEALTH <br />BOARD CHAI <br />