251 JEFFERSON AVENUE VOIDED MONETARY FINE 9-24-2024 CITY OF SALEM 1 r r r r
B O A R D O F H E A L T H
MONTH DAY YEAR riME CONTROL NO.
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LOCATION
NAME OF OFFENDER
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ADDFiESS1 STATE. ZIP
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I hereby acknowledge receip a foregoing citation
X Date:
❑Unable to obtain signature o o Date mailed CUE2'�2t�y
❑Chapter 40,section 210-General SojejWle of fines
❑Regulation 3-Min.S ards of Food Establishments St nitary Code
Off Regulation 6- .Standards of Fitness/Housing 105CMR410
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❑Regulation 7- ollection,disposal of garbage and refuse 0
❑Regulation 24- ate of tobacco
❑Section 2-706-Un thorized collection of solid waste
❑Section 22-31-Genera rohibitions for radios,boom boxes,
tape cas s,disc players,etc. /W
❑Section 24-9-Throwing,depositin se on streets,vacant lots,etc.
❑Section 24-17-Cigarette vending machines -------
❑Section 38-5-Numbering of buildings,dwellings
❑Other
~ ATUREOF NFORCING PERSON
Amount of Fine: Warning ❑$25 5$50
❑$100 200 ❑$300 ❑Other
You have the following alte atives in this matter within 21 days of the date of this otice:
❑Choose to pay the fine wit in 21 days of the date of this notice.
Enclose a check or money o er payable to the City of Salem and return it in this env lope
or by delivering in hand to th City Clerk's Office,City Hall,93 Washington Street,S lem,
MA 01970.If delivering in h d,please note the hours of City Hall operation;Mo day
through Wednesday from 8: 0 .m.10 4:00 p.m.,Thursday from 8:00 a.m.to 7:00 p.m. nd
Friday from 8:00 a.m.to 12: m.
Choose to contest this matter hin is notice and request in writ g
a noncriminal hearing.
Enclose a copy of this citation an mail it to the Clerk Magistrate,Salem District Court 5
Washington Street,Salem,MA 01 0.The Court will schedule a hearing.
FAILURE TO OBEY THIS NOTICE WI IN 21 DAYS OF THE DATE OF THIS NOTI WILL
RESULT IN THE CITY OF SALEM A LYING FOR THE ISSUANCE OF RIMINAL
COMPLAINT AGAINST YOU AND THE D L OR REVOCATION OF AN Y OF SALEM
PERMITS OR LICENSES YOU APPLY FO THAT YOU BEEN GRANTED,
INCLUDING BUILDING PERMITS.
City of Salem,City Clerk's Office,93 Washington Street,Salem,MA 01970
978-745-9595,ext 5610.