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i.A� <br /> •'N.0 <br /> �?WIY�• <br /> North Carolina Department of Health and Human Services <br /> Division of Health Service Regulation <br /> Pat McCrory Richard O. Brajer <br /> Governor Secretary <br /> Mark Payne <br /> Assistant Secretary for Audit and <br /> Health Service Regulation <br /> February 18, 2016 <br /> South Orange Rescue Squad <br /> Matthew Mauzy,Chief <br /> PO Box 128 <br /> Carrboro,NC 27510-0128 <br /> Dear Chief Mauzy: <br /> Your application to operate as a licensed emergency medical service provider has been approved. According to our <br /> records, South Orange Rescue Squad is affiliated with the Orange County Emergency Medical Services System. <br /> Please review the enclosed license to ensure that the information is correct. It should be permanently displayed at the <br /> primary provider base. Photocopies of the license are acceptable to display in satellite and/or other locations. <br /> If you have any questions,please contact your local Office of Emergency Medical Services regional specialist. <br /> Sincerely, <br /> I � t <br /> 'T'om NA if cheil, Assistant Chief <br /> North Carolina Office of Emergency Medical Services <br /> c: Jane Brice, Medical Director <br /> Bonnie Hammersley, County Manager <br /> Kimberly Woodard, System Administrator <br /> Wally Ainsworth, Regional Manager <br /> Office of Emergency Medical Services <br /> www.ncdhhs.gov• www.ncems.org <br /> Phone: 919-855-3935•Fax:919-733-7021 <br /> Location:1201 Umstead Drive•Dorothea Dix Hospital Campus•Raleigh,NC 27603 <br /> Mailing Address:2707 Mail Service Center•Raleigh,NC 27699-2707 <br /> An Equal Opportunity•Affirmative Action Employer <br />