16 Freeman Road Complaint 8-15-2019 0A11w-%
CITY OF SALEM,MASSACHUSETTS
BOARD OF HEALTH
KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4IH FLOOR
MAYOR TEL.(978)741-1800
FAX(978)745-0343
LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN1niSALEM.COM
HEALTH AGENT
COMPLAINT INTAKE FORM
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Date: 1 Time: Received By:y ck�,
Complaint Number: 2538
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