HomeMy WebLinkAboutC11-206 WECAD Service License and Permit EAGLE COUNTY
AMBULANCE SERVICE LICENSE
S ri
EAGLE COUNTY
LICENSURE DATE: From: July 1, 2011 to June 30, 2012
AMBULANCE SERVICE: Western Eagle County Ambulance District
ADDRESS: PO Box 1809 Eagle, CO 81631
PHONE: 970- 328 -1130 FAX: 970 - 328 -1132
WESTERN EAGLE COUNTY AMBULANCE DISTRICT MEDICAL ADVISOR:
Benii Kitagawa,M.D.
The inspection of the above named ambulance service was made on June 1, 2011
by Jennie Wahrer, RN. This ambulance service has met licensing requirements for
Eagle County as established in the resolution as approved by the Board of
Commissioners May 2007.
INSPECTOR(s):
(Signature)
Jennie ahrer, RN
PUBLIC HEALTH DIRECTOR APPROVAL TO ISSUE LICENSE:
(tp-- / 6 i) /
Rachel Oys, Public Wealth Director Bate
BY AUTHORITYOF THE EAGLE COUNTY BOARD OF COUNTY COMMISSIONERS:
COUNTY OF EAGLE, STATE OF
COLORADO, By and Through Its
BOARD OF COUNTY COMMISSIONERS
TT c pt / A
' Elt4 : AA Jiln
Clerk to the Board of Jon : . ney
County Commissioners M Ch. an
De
6 II46c,
EAGLE COUNTY
AMBULANCE VEHICLE PERMIT
EAGLE COUNTY
PERMIT VALID FROM: July 1, 2011 to June 30, 2012
AMBULANCE SERVICE: Western Eagle County Ambulance District
ADDRESS: PO Box 1809 Eagle, CO 81631
PHONE: 970 - 328 -1130 FAX: 970 - 328 -1132
VEHICLE YEAR MAKE TYPE VIN CO- REGISTRATION
#1 (801) 2008 Ford E450 1FDXE45P78DA77008 359 -REG
#2 (802) 2003 Ford E450 1FDXE45F63HA19142 933 -HOL
#3 (803) 2003 Ford E450 1FDXE45F43HA19141 960 -HOL
#4 (804) 2003 Ford E450 1FDXE45F73HA60864 861 -NBW
Western Eagle County Ambulance District MEDICAL ADVISOR: Benji Kitagawa, M.D.
The inspection of the above named ambulances was made on June 1, 2011 by Jennie
Wahrer, RN. This ambulance service has met permit requirements for Eagle County as
established in the resolution as approved by the Board of Commissioners May 2007.
INSPECTOR(s):
(Signature) I
Jennie Wahrer, RN
PUBLIC HEALTH DIRECTOR APPROVAL TO ISSUE PERMIT:
AL/
Rachel Oys, Public alth Director at
BY AUTHORITYOF THE EAGLE COUNTY BOARD OF COUNTY COMMISSIONERS:
COUNTY OF EAGLE, STATE OF
COLORADO, By and Through Its
BOARD OF COUNTY COMMISSIONERS
VALE
ATTEST: o Q O
• Clerk to the Bo FA
. of * * ,in Stavney
4
County Commissioners • airman
DVJOV
