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� , TOWN OF YARMOUTH
' BOARD OF HEALTH
PERMIT TO OPERATE A FOOD ESTABLISHMENT
� PERMIT NLJMBER: #12-181 FEE: 80.00
In accordance with regulations promulgated under authority of Chapter 94,Section 305A and
Chapter 111, Section 5 of the General Laws,a permit is hereby ganted to:
Alan and Carol Faxquharson, 2 Follins Pond Road, Yarmouthport, MA
Whose place of business is: Carol's Kitchen
Type of business: Residential Kitchen
To operate a food establishment in: Town of Yarmouth
Permit expires: December 31, 2012 BOARD OF HEALTH: J `.vati�teQut�t C',�i.abcrtta.rtt
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Julv 5,2012 ruce G. M rphy, .5., CHO
Director of Health
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