DOJ-OGR-00026256.jpg

The image is a scanned document, possibly an invoice or receipt, with the title "Canada Health Services" at the top. The paper has a light grey background and there are fields for information such as date, name, address, and payment details. However, the specific details in these fields are not filled out, leaving them blank. The document appears to be official and structured, likely intended for use within the health services sector of Canada.