Browse
Search
Agenda - 03-15-1994 - VIII-A
OrangeCountyNC
>
Board of County Commissioners
>
BOCC Agendas
>
1990's
>
1994
>
Agenda - 03-15-94 Regular Mtg.
>
Agenda - 03-15-1994 - VIII-A
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/9/2015 3:29:46 PM
Creation date
2/9/2015 3:29:40 PM
Metadata
Fields
Template:
BOCC
Date
3/15/1994
Meeting Type
Regular Meeting
Document Type
Agenda
Agenda Item
VIII-A
Document Relationships
Applications for First Responder Services for Caldwell, Cedar Grove, Eno, Mebane, New Hope, North Chatham, Orange Grove and White Cross fire departments in accordance with the provisions of the EMS Francise Regulating Ordinance
(Linked From)
Path:
\Board of County Commissioners\Various Documents\1990 - 1999\1994
Minutes - 19940315
(Linked From)
Path:
\Board of County Commissioners\Minutes - Approved\1990's\1994
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
10
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
3 <br /> APPLICATION <br /> FOR <br /> AMBULANCE RESCUE OR MEDICAL FIRST RESPONDER FRANCHISE <br /> ORANGE COUNTY, NORTH CAROLINA <br /> Date of Application: March 1, 1994 <br /> I . APPLICANT: <br /> A. Name of Applicant: Caldwell Fire Department <br /> B. Address:Street: 7020 Guess Road <br /> City/State: Rougemont, N. C. Zip 27572` <br /> C. Telephone No. at Base of Operations: 919-732-8445 <br /> D. Name of Owner/Contact Person: Bryant Walker <br /> E. Address:Street: 5108 Walker's Farm Road <br /> City/State: Hillsborough, N. C. Zip 27278 <br /> F. Telephone No. : 919-732-4034 <br /> G. *Trade Name: N1A <br /> H. Category of Franchise Applied For (A separate <br /> application must be completed for each category of <br /> service applied for) : <br /> BLS: ALS: RESCUE SERVICES <br /> [%] First Responder [ ] D-Level [ ] Extrication <br /> [ ] Emergency Med Techn. [ ] I-Level [ ] High/Low Angle <br /> [ ] Convalescent Transport [ ] P-Level [ ] Confined Space <br /> [ ] Trench <br /> [ J Water <br /> H. ATTACHMENTS REOUIRED: <br /> 1. Certified copy' of Articles of Incorporation Charter <br /> or *Assumed Name Certificate. <br /> 2. Resume, of training and experience of the applicant <br /> in rescue and transportation and care of patients. <br /> 3. A financial statement as it pertains to operations <br /> in Orange County. <br /> 4 . A copy of Organization's By-Laws (if applicable) . <br /> 5 . A copy of Organization's Standard Operating <br /> Procedures. <br /> 6 . A current roster of members to include name, <br /> address, and social security number. <br />
The URL can be used to link to this page
Your browser does not support the video tag.