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Brown County Health Department P.O. Box 281 Nashville, IN 47448RETAIL FOOD ESTABLISHMENT INSPECTION REPORT State Form 48669 (R2/205) SDH Form 510001Based on an inspection this day, the item’s noted
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The purpose of signature on file is to ensure the authenticity of medical records and documents.
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The signature on file must include the name of the signer and the date of the signature.
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