RESTAURANT SANITATION DIVISION
COLORADO STATE BOARD OF HEALTH
IDENTIFICATION PERMIT
THIS PERMIT MUST BE KEPT ON FILE AT
PLACE OF EMPLOYMENT
This Is to Certiiy that
T)» W» MALT.ART)
Has been duly examined, under the rules of the COLORADO STATE
BOARD OF HEALTH, and found to be PHYSICALLY QUALIFIED to
handle food.
Signature of Applicant THIS PERMIT EXPIRES
Feb. 8, 1939
-
Unless previously cancelled
^- or revoked
Secretary and Executive Officer
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