STATE OF FLORIDA DEPARTMENT OF HEALTH

HEALTH Sanitation Certificate

15-48-01026

15-BID-4280513 Food Hygiene - School (more than 9 months)

Issued To: Anderson Elementary School 815 SE 351 Highway Cross City, FL 32628

Mail To: Attention: Linda Fowler Anderson Elementary School 815 SE 351 Highway Cross City, FL 32628

County: Dixie Amount Paid: $200.00

Date Paid: 09/20/2019 Issued Date: 10/01/2019

/ Expire, On: 09/30/2020

Issued 4, Department of Health in Dixie County 149 NE 241ST Street Cross City, FL 32628

(352) 498-1360

Owner: Dixie District Schools (,

Food Type: Full Service

Seating Capacity (Max): 0.00[Restricted by Sewage Disposal Type:]

Food Hygiene Restrictions (if applicable)

Original Customer: Anderson Elementary School (NON-TRANSFERABLE) DISPLAY CERTIFICATE IN A CONSPICUOUS PLACE

STATE OF FLORIDA

DEPARTMENT OF HEALTH

HEALTH Sanitation Certificate

15-48-01026

15-BID-4280513

Issued To: Anderson Elementary School 815 SE 351 Highway Cross City, FL 32628

Mail To: Attention: Linda Fowler Anderson Elementary School 815 SE 351 Highway Cross City, FL 32628

Owner: Dixie District Schools (,

Food Hygiene - School (more than 9 months) Dixie $200.00

09/20/2019

10/01/2019

09/30/2020

County: Amount Paid:

Date Paid:

Issued Date:

Expires On:

Issued Department of Health in Dixie County 149 NE 241ST Street Cross City, FL 32628

(352) 498-1360