11 Complaint Record 7/11/85 BOARD OF HEALTH
CITY HALL
COMPLAINT RECORD
Date — Time f`,
Name of
Complainant - -- -
Address Tel
Nature of Complaint
Location of Premises
Sr-
Owner
Address
Occupant
Taken by Referred to
Date of inspection — Time `i :90'fz
INSPECTOR'S REPORT CM'!ev
Action Taken —
Inspector