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COCrPIAINT INV7STICATIQN FV..`.1 <br />Date Complaint Received /zy ��75 <br />Received From �%f S &41,i CdL.ef� <br />Address <br />Tele No. 2 S; ?.20 <br />NATUE: OF W.PLAI NT S//6 STAR-D f},eD W% vs nrS AT` <br />Date of Inspection <br />VIOLATIONS NOTED <br />Na <br />1°RWGLrf,S <br />w,1H <br />/Fi9 <br />kv44-A�L/ . <br />ppyyfi���2t,.i <br />�()'1(L4,WA1(/r <br />5;iAuLp 66' <br />f,GEfO <br />On/ Si'S <br />%Z''tiA-T7C /rP Ff*l <br />-Tz,-;4 f 1/u s Z, Cyr, F/a,w/T s. <br />Oxner/Te rrt, Dame G�.�c_�sr C,11 -7P6gz-L <br />Address <br />ACTIC" T4KU! <br />l�c-D <br />REe��•KS <br />Follo�s-up d+ite <br />Inspector; Sinnature <br />