BAY VIEW AVENUE - RODENT COMPLAINT lly "I CITY OF SALEM, MASSACHUSETTS
{ BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T"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: Time: Received By:
Complaint Number: 2194
Complainant
Address: Phone:
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Investigated By:- Date:
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