31 WINTHROP STREET - RODENT COMPLAINT CITY OF SALEM, MASSACHUSETTS
0 BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,471 FLOOR
MAYOR TEL.(978)741-1800
t FAX(978)745-0343
~' LARRY RAMDIN,RS.%REHS,CHO,CP-FS LRAMDINCa SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 1746
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