10 Howard Street Unit 41B Complaint 8-15-2018 a
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN SALEM.COM
HEALTH AGENT
9� COMPLAINT INTAKE FORM
Date: J l Time: 0 - Received By: Su 2a V)h .6
Complaint Number: 2226
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