313 ESSEX STREET - HOUSING COMPLAINT low)
CITY OF SALEM MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4TH FLOOR
MAYOR TEL.(978)741-1800
FAx(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(-a!SALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
Date: Time: Received By-.
Complaint Number: 2283
Complainant
Address: Phone:
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Investigated By: Date:
Property Owner/Occupant Name Telephone#:
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