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2013-01-09 CC Packet
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2013-01-09 CC Packet
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1/4/2013 3:51:47 PM
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Signature Title <br /> Date: <br /> 1. Food and/or beverage served. <br /> 2. Permit(s) attached. <br /> 3. Food cooked. <br /> 4. Permit(s) attached. <br /> 5. List other health licensing obligations as may be require: <br /> Page 10 of 10 <br /> 27 <br />
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