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Paris -Lamar County Health Department <br />Public Information Request <br />NAME OF PERSON REQUESTING INFORMATION: Kelsey Shields <br />NAME OF FIRM OF COMPANY REPRESENTING <br />(IF APPLICABLE): EBI Consultin <br />21 B Street, Burlington MA 01803 <br />ADDRESS: <br />PHONE NUMBER: 781 -418 -2342 <br />DATE AND TIME OF REQUEST: <br />DESCRIPTION OF PUBLIC RECORD(S) BEING REQUESTED: <br />Please see attached letter. <br />xk4�__ <br />C,ovJ01r+ Inn <br />SIGNATURE OF PERSON REQUESTING INFORMATION <br />APPROVAL FOR RELEASE OF PUBLIC RECORDS: <br />ROUTED TO: <br />DATE RECEIVED: <br />ACTION BY STAFF: <br />APPROVAL MUST BE GIVEN BY THE EXECUTIVE DIRECTOR AND BOARD OF HEALTH <br />CHAIRMAN: <br />EXECUTIVE DIRECTOR BOARD CHAIRMAN <br />