70 SUMMER STREET - RODENT COMPLAINT CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,e'FLOOR
f MAYOR TEL.(978)741-1800
1 FAX(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDINro)SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By:
Complaint Number: 2428
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Investigated By: Date:6 1Z 24:21 9
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