16 Complaint Record 8/19/9 N
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• INSPECTOR'S REPORT
BOARD OF HEALTH
CITY HALL
COMPLAINT RECORD
Name of
Complainant l( eceko
c Tel 15C'3S,15S
Address
Date�l /9 Tinte JLIc 2�
Nature of Complaint Al ce 1i'--wj-et— ±-4 4 af--JL
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Location of P ISes
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Owner
Address
Occupant
Taken by
Date of inspection
4/x 3 2
n
N
0
t
m
0
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Referred to
Time L ' ' lam
Action Taken
A
—Printed on Recycled Paper—