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HomeMy WebLinkAboutC11-398 Ambulance Vehicle PermitEAGLE COUNTY
AMBULANCE VEHICLE PERMIT
fAGLE COUNTY
PERMIT VALID FROM: December 8. 2011 to December 7 2012
AMBULANCE SERVICE: Western Eagle Ambulance District
ADDRESS: PO Box 1809 Eagle, CO 81631
PHONE: 970-328-1130 FAX: 970-328-1132
VEHICLE YEAR MAKE VIN CO REGISTRATION
#5(805) 2011 Mercedes WD3PE7CD4B5533881 844-XCN
WESTERN EAGLE AMBULANCE DISTRICT MEDICAL ADVISOR: Benii Kitagawa, M.D.
The inspection of the above named ambulances was made on December 8, 2011 by Jennie
Wahrer, RN. This ambulance 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 I i
Jennie 111a -?r, RN
PUBLIC HEALTHDIRECTORAPPROVAL TO ISSUE PERMIT:
� ()
Rachel Oys, Public Heal h Director Date
BY AUTHORITY OF THE EAGLE COUNTY BOARD OF COUNTY COMMISSIONERS:
COUNTY OF EAGLE, STATE OF COLORADO,
By and Through its
BOARD OF COUNTY COMMISSIONERS
ATTEST: '
Clerk to the Board of County Commissiontr Jo Stavney, Chairman
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