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�
� The Commonwealth of Massachusetts
Fee
� Town of Yarmouth $30.00
� Food Establishment License
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I Number: BOHF-15-1033-01 Issue Date: 1/1/2016
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I Mailing Address: Location Address:
ELDER SERVICES OF CAPE COD &THE ISLANDS 528 FOREST RD
YARMOUTH NUTRITION SITE SOUTH YARMOUTH, MA 02664
� 528 FOREST ROAD
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� WEST YARMOUTH,MA 02673
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� IS HEREBY GRANTED A 2016 LICENSE
' � TO OPERATE:
Non-Profit;
i
This license is granted in conformity with the statutes and ordinances relating thereto,
and expires December 31, 2016 unless sooner suspended or revoked and is not
transferable.
Conditions
SEAT/NG: 120- Congregate Dining Room
� BOard Hillard Boskey,M.D.,Chairman
Mary Craig, Vice Chairman
Of Charles T.Holway, Clerk
Tanya Daigneault
Health Evelyn P.Hayes
Bruce G. Murphy,MPH R.S.,CHO/Amy L.von Hone,R.S.,CHO
Health Director/Assistant Health Director