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14 FOREST AVENUE - TRASH COMPLAINT (2)
-'intig` /mow� -, , ! CITY OF SALEM, MASSACHUSETTS \(-�O�E�t BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHP.vGTON STREET,4rH FLOOR MAYOR TEL.(978)741-1800 ti FAx(978)745-0343 LARRY RAMDLN,RS/REHS,CHO,C.P-FS LRAMDINCA�SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: - % `! Time: ) = Received By: id 121 Complaint Number: 1773 Complainant , — r7 Address: �T— % ?' Y� Phone: Investigated By: Date: Property Owner/Occupant Name Telephone #-.