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Paris -Lamar County Health Department <br />Public Information Request <br />NAME OF PERSON REQUESTING INFORMATION: V\AL� ­50ne__� <br />NAME OF FIRM OF COMPANY REPRESENTING <br />(IF APPLICABLE): _bn L&I, J-+ <br />ADDRESS: 11 () =�p T S --iQ <br />PHONE NUMBER: (4c) <br />DATE AND TIME OF REQUEST: <br />DESCRIPTION OF PUBLIC RECORD(S) BEING REQUESTED: <br />v <br />SIGNATURE OF PERSON <br />APPROVAL FCkRELEASE OF PUBLIC RECO <br />ROUTED TO: <br />DATE RECEIVED: <br />ACTION BY STAFF: <br />APPROVAL MUST BE GIVEN BY THE EXECUTIVE DIRECTOR AND <br />CHAIRMAN: / <br />EXECUTIVE DIRECTOR <br />9 <br />9 <br />INFORMATION <br />D OF HEALTH <br />BOARD <br />