Bed Bug Complaint 2013 LL
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Date
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Type! � !
Name of Complainant:
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Address:
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NATURE OF COMPLAINT:
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Location:
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Owner:
Address:
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Taken by:
Date of Inspection:
Time:
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- INSPECTOR'S REPORT:
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Total#of Inspections: �I Orders Issued?: ta0
Date of Final Inspection: J/xi 13 Notice of Compliance?: Ja
Inspector
Signature