Physician's Statement Recommendation

Callfomla Heallh and Safety Code Seam 11362.5 i/J


 

 

 

 

 

 

 

 

 

Patient Name: HUEDELL FREEMAN I
Recommendation 101:: 5003 4732 0132 7032 SW mm"
03" of issne: 1111312015 Dale of expiration: 11/17/2017
mam WNW A 1 

Mar-<0 

I . 

THOMAS D. ALLM AN Undersheriff Randy Johnson
Sheriff-Coroner - Captain Gregory L. Van Patten

Field Services

Captain Tim Pearce
Corrections

 

County of Mendocino
Of?ce Of The Sheriff-Coroner

The Medical Marijuana location belonging to Uiv? was inspected and
(Name of Applicant) . . .
approved on 4 for the 2016 Mendocino County Sheriff?s Of?ce Medlcal Marljuana

(Date)
Exemptlon Program. You are now required to purchase zip ties and attach one per plant or inside the structure

where the plants are growing. You are eligible for 7Q zip ties at $50 (?fty dollars) each at the
(Number of Zip ties)

Mendocino County Tax Collector and Court Collections Of?ce at 501 Low Gap Road Ukiah, CA 95482. After

the payment is complete bring the receipt for the zip ties to the Sheriff 5 Of?ce to receive zip ties.

InSpected byt/xkz 
(p '7 

I(Inspect0r?sSigmM I {Date}

Please note: you must make an appointment to receivezip ties at the Sheriff 3 of?ce by calling or emailing:
707-234-2126


 

951 Low Gap Road 
Ukish, California 95482 707-463-4411
Fax 797-468-3404

 

 
 

County of Mendocino

PERMIT 

Garden Site #2

Expiration Date: 12/31/16

EXEMPTION TO MENDOCINO COUNTY CODE 9.31

THIS MUST BE PLAINLY POSTED AT GARDEN SITE
AT ALL TIMES

Mendocino County Sheriff?s Of?ce 951 Low Gap Road - Ukiah, CA 95482 - (707) 463-4086 (Dispatch 24/7)

Farm 803A Rev. 07/12/10