12 Complaint Record 1990 BOARD OF HEALTH
CITY HALL
COMPLAINT RECORD
Date t//l///Time e If PM
Name of �7
Complainant /7%✓/115 l%/ ,%j�'CY/
(At.'.cfe-v/G/
Address /z / c'ct, .v >y) Ro,4 Tel('c✓,) ';:k7-y1'`5
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Nature of Complaint Liked' OF IPA r 7rak nrn c/ a / / /Pr
Location of Premises
Owner
Address
Occupant
Taken by Referred to
Date of inspection //z,<'/ `7 Time 9:/S47 M
INSPECTOR'S REPORT cnit ///20/70 /5.', .,� .i
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Action Taken [ILl
Nfi/i;7.4/ //AY
—Printed on Recycled Paper-