State ID	20342	6-Passenger;  Installed:  10/01/2001
Owner (109765)	SABRA IL HOLDINGS LLC ATTN LICENSING 300 E MARKET ST STE 100 LOUISVILLE KY 40202	Occupant (38634)	CREEKSIDE TERRACE 3895 OLD VINEYARD RD WINSTON SALEM NC 27104 Cty: FORSYTH  - B	Billing (74544)	SABRA IL HOLDINGS LLC ATTN LICENSING 300 E MARKET ST STE 100 LOUISVILLE KY 40202

Rpt Nbr	Invoice	Insp Date	Insp Type	Inspector	Cert Status	Nbr Viols
23240-57-0555		08/28/2023	2-Routine	57 - EVANS	2-Re-Isssued	1
22242-57-2929		08/30/2022	2-Routine	57 - EVANS	2-Re-Isssued	2
21232-57-1259		08/20/2021	2-Routine	57 - EVANS	2-Re-Isssued	2
20246-57-4775		09/02/2020	2-Routine	57 - EVANS	2-Re-Isssued	1
19312-57-1198		11/08/2019	2-Routine	57 - EVANS	2-Re-Isssued	4
18346-88-5257		12/12/2018	2-Routine	88 - DOYLE	2-Re-Isssued	4
18002-57-1469		01/02/2018	2-Routine	57 - EVANS	2-Re-Isssued	1
17010-57-4464		01/10/2017	2-Routine	57 - EVANS	2-Re-Isssued	2
16028-57-3573		01/28/2016	2-Routine	57 - EVANS	2-Re-Isssued	1
15041-29-2012		02/10/2015	2-Routine	29 - TOLLEY	2-Re-Isssued	0
14014-29-1818		01/14/2014	2-Routine	29 - TOLLEY	2-Re-Isssued	2
13028-29-343		01/28/2013	2-Routine	29 - TOLLEY	2-Re-Isssued	2
12006-29-0067		01/06/2012	2-Routine	29 - TOLLEY	2-Re-Isssued	3
10326-29-1149		11/22/2010	2-Routine	29 - TOLLEY	2-Re-Isssued	0
9322-29-2054		11/18/2009	2-Routine	29 - TOLLEY	2-Re-Isssued	1
	569986	11/19/2008	2-Routine	29 - TOLLEY	2-Re-Isssued	5
	569087	11/19/2007	2-Routine	29 - TOLLEY	2-Re-Isssued	3
	568225	11/07/2006	2-Routine	29 - TOLLEY	2-Re-Isssued	2
	427534	10/20/2005	2-Routine	29 - TOLLEY	2-Re-Isssued	2
	403782	11/10/2004	2-Routine	29 - TOLLEY	2-Re-Isssued	1
	396666	10/30/2003	2-Routine	29 - TOLLEY	2-Re-Isssued	2
	395861	09/11/2002	2-Routine	29 - TOLLEY	2-Re-Isssued	3
	338241	10/04/2001	3-Compliance	29 - TOLLEY	1-Issued	0
	338243	10/01/2001	1-New	29 - TOLLEY	3-Not Issued	6