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2011 Aug - License with NotesTHE COMMONWEALTH OF MASSACHUSETTS TOWN OF YARMOUTH BOARD OF HEALTH PERMIT NUMBER: #11-006 FEE: $55.00 This is to Certify that Paul Turner d/b/a Paul Turner's Ultimate Soccer Academy at Station Avenue Elementary School, Station Avenue, South Yarmouth, MA HAS BEEN GRANTED A LICENSE TO OPERATE RECREATIONAL CAMPS, OVERNIGHT CAMPS This License is issued in conformity with the authority granted to the Board of Health, by Chapter 140, Sections 32A, 32B, 32C, 32D and 32E as amended, and is subject to the provisions of the Laws of the Commonwealth of Massachusetts relating thereto, and upon such terms and conditions, and to the rules and regulations in regard to said Cabins so licensed as adopted by the Board of Health, and expires December 31, 2011 unless sooner suspended or revoked. May 11. 2011 BOARD OF HEALTH: C- urd '�o Office T Name o I Address: Telephor J`344w xw - ttm-smia e�iabun J Da gneauet `1Jiee eftahmatt J . wavid W e. sioumi t .a Director of Camp Director: Address: 62 M,ai,..1 2,1 , k,wC,sro,,, rN� ,02 3b�r CO icE7) Age: 25 Telephone Number: Coursework in Camping Administration: u o we Previous Camp Administration experience: PTUSA 2"VA,25 T*,5PbAT PHHS1c,yt, 60udATo,J 14-on,, ov Health Care Consultant: (cCr r t_ ew S o,^J Type of Medical License: tAD MA License number: -T- $$ (p, Address: SO Ccwtz r 5-i2arT N f MA Telephone: SOS 'itti - 1-4oi 08/19/08 1 of 2