72B Complaint Record 2016 September 6, 2016
CITY of NORTHAMPTON
PUBLIC HEALTH DEPARTMENT
Municipal Building-212 Main Street-Northampton, M4 01060
Phone (413)587-1215-Fax (413)587-1221
http://www.northamptonma.gov/245/11ealth
Nathan Jones
72 B Musante Drive
Northampton, MA 01060
Re: Request for Records
Public Health
Prevent.Promote,Protect,
Dear Mr. Jones:
Enclosed please find a copy of the records requested from the City of Northampton
Health Department.
This is the completed file for the above listed location and we will consider this
records request completed and this matter closed.
If you have any questions or concerns please contact the Health Department at
(413) 587-1214
Respectfully;
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Melissa Roberts-Cote
Administrative Support
212 Main Street,Northampton,MA 01060
Ph (413) 587-1214 Fax(413)587-1221
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COIYZPLAINT.
ST'S INFORMATION:
Complainant's Name:
Occupant's Name:
Complaint Location:
NATURE OF
COMPLAINT:
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CaI!Taker Inttlals:
Date of Complaint:
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Animals: YIN Child Under 6: Y/N
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OWNER'S INFORMATION:
Owner's Name:
Property Mgr./
Land Lord:
Inspection
Scheduled on:
Complaint
Unfounded:
Conditions
Found:
Address:
Address:
Telephone#( ) -
Alternate ( )
ACTION TAKEN:
Signature of Inspecting Officer Date/Time of Inspection