HomeMy WebLinkAbout2002 Apr 19 - Fax Cover Sheet and Chinese ServSafe Info Confirmation Report — Memory Send
Date 4 Time: Apr-19-2002 01:37pm
Tel line .
Nachine ID :
Job number . 128
Date & Time . Apr-19 01:35pm
To . 5087756U33
Number of pases . 002
Start time . Apr-19 01:35pm
End time . Apr-19 01:37pm
Pages sent . 002
Status . OK
Job number : 128 *** SEND SUCCESSFUL ***
YARMOUTH �EAI�'TI3 �EPARTMENI'
1146 ROU'1'E 28 .
SOUTH YARMOiJ"I'H, MA 02664
� (508) 398-2231, EXT_ 241
� FAX: (508) 398-2365 or
�508) 398-0836
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ARMOUTH EALTH EPARTMENT
1146 ROUTE 28
SOUTH YARMOUTH, MA 02664
(508) 398-2231, EXT. 241
FAX: (508) 398-2365 or
(508) 398-0836
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��S C�u�S�• �
I H�v���tl
P.O.Baac 733
WeStBoykrory MA07563
. tel/fa�c(508)835-9�8
,` `�r ��r'vSa#e Ce�t,�i�€�oi��ourse
\ . . : ���r���+�'��� �/
Instructor (a���) . S. Samuel Wong, Ph.D. (��'�}�t)
Location (f��) : Michi Kusa Japanese Cuisine (��e���� � � � � � � � �
2 aeacon street APR 1 8 2001
Framingham, Mass.
HEALTH DEPT.
Fee (��) : $175 per participant (�1u $175)
(fee includes coursebook, lecture, exam, and certificate)
(���a�i�`'a� ����� ��--a�13z�a)
Dates & Time . Day 1 (Lecture ��) Day 2 (Exam ��)
(B#A1s�B��B�) Sunday, May 5, 2002 Sunday, May 19, 2002
9:OOam - 3:OOpm 9:OOam - 12:OOpm
Registration (�$): Please fill out the Registration Form below (o�i��,{���7�$�)
Deadline for Registration (�$�1t8�.�): 4/28/2002
For more information, please call our office at���a���� (508) 835-9898.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..:.�.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of Participant #1 ��—S��C$�:
Name of Participant #2 ��_���,�:
, N me of Establishment '`'�
a ����•
Estabiisnment Address ��1t�1jt:
City rT-�: State l�hl: — Z�P �R�a�°s�:
i Phone �o�iG��,�:
Please send this registration form with a check of $175 per person (payable to MD Consulting)
to #���F}�j���+ i��Jx� (�'G'1.��$175+ #oS��MDConsulting)+ ��J:
MD Consulting
P. O. Box 133
West Boylston, MA 01583
MK 5/19
The Massachusetls Department of Public Health updated the regulaiions for food establishments,which went into effect on October 1,2000.
Certified Food Manager is one of the new requirements. MD Consulting is an approved ServSafe Food Manager Certification Course provider
in CT, MA, NH, NJ, RI, and many other states. Please call the above phone number for further information. 02000,2001 MD Consulting. ��