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5 Porter Street Court Complaint 7-29-2019
-Z- 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 LRAMDINCa7SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: Received By: ' � Complaint Number: 2512 Complainant fA7)0 e�/17 tjq-,, Address: Phone: lop b1i - - Invest7gate�d y': _ Date: _ Property Owner/Occupant Name__ _ _Telephone #: _