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CLRCK C0 PUBLIC HERLTH TEL:503-655-8~50 <br /> <br />CLRCKRMRS <br />COUNT"/ <br /> <br />Rpr 05 95 ~4:44 No.O0? P.O! <br /> <br />Depadment of Human Services <br /> Public Health Division <br /> <br />FAX TRANSMITTAL SI:Ug~ET <br /> <br />DATE <br /> <br />D~PT, <br /> <br />~PECIAL COVERTS: <br /> <br />Total number of pages sent (including cover sheet)_ ~--' <br /> <br />If there are any problems with this transmission please ¢all <br /> <br />FiLE <br /> <br />? ! 0 Cen 8e r. S t, Ofeeon City. OR 97045-4093 - Telephone (503) 655-' 84 30 FAX (503) 655J 3 50 <br /> <br /> <br />