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22 BRIDGE STREET - HOUSING COMPLAINT
a CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4r"FLOOR MAYOR TEL.(978)741-1800 FAx(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: �.� 1 Time: Received Complaint Number: 2274 Complainant ✓S Address: (` 1- > 7 1'Ee Phone: 1 1 ,.- Investigated By: Date: Property Owner/Occupant Name_ _ Telephone #- -r ,