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<br />06/20/2007 09:23 <br /> <br />3525211562 <br /> <br />PRMC PURCHASING <br /> <br />PAGE 01 <br /> <br />Fax Cover Sheet <br /> <br />PASCO REGIONAL MEDICAL CENTER <br />ENGINEERING DEPARTMENT <br /> <br />13100 FORT KING ROAD <br />DADE CITY. FlORIDA 33525 <br />PHONE: 352-521-1124 <br />FAX: 302-521-1542 <br /> <br />CONFIDENTIAL HEALTH INFORMA liON NOTICE <br /> <br />This Fax may contain confidential health care information that Is personal and sensitive informaVon. It is being <br />faxed to you after appropriate authorization from the patient or under circumstances that do not require patient <br />authorization. You, the reclplft1t, may be obligated uncler Federal or State L.aw to maintain the Infonnation in a <br />safe, secure and confidential manner. fte-dlsclosure without addi1lol1ll' patient penn_ion or as otherwi.. <br />permitted by law may be prohibited. Unauthorized re-dis~losure or failure to maintain confIdenti8IKy could <br />subject you to penalties lln~=';;'ta(:;W"i) <br /> <br /> <br />~: ~ . ,~:C <br /> <br />Fax: <br /> <br /> <br />Dille: <br /> <br /> <br />. Including cover <br /> <br />P8ges: <br /> <br />Re:~-AtIJ 4A~ M 0;- CC: <br />{/ <br />o Urgent 0 For Review 0 Please Comment 0 PI___ Reply 0 P..... Rec)'CIe <br /> <br />· Comments: <br /> <br />. <br /> <br />..,; ~)'f'd <br />~uv.;~~' ~~ <br />~I /-rnf~~ / <br />~~ ~~q4.i.if' J~r' <br />~p <br /> <br /> <br /> <br />a.." <br /> <br />IMPORTANT WARNING; This meAilge is intended for the use of the per$On or entity to whId1lt 15 addressed and <br />may OOl'ltoain information that is privileged and confidential. the disdosurv of whiet1 is govemed by aJlpf.eable law. If <br />the reader of this message is not the intended recipient. or the employee or agent responsible to deItver It to the <br />intended recipient. you ere hereby notified that any dissemination. distribution or copying of this information is <br />STRJCTL Y PROHIBITED. If you have received this message in error, please notify us immediately and destroy the <br />related message. <br />