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�� l.vurt Fiouse <br />��� Evcrclt, V'ashington <br />� I ` <br />% ^ .., �� C� <br />COMPI.AINT SH[Ei �` �',� Lj �y V�;� �' U <br />J <br />ihe lollowin must bc com letcd • L J `� �� »�� <br />9 _ P ia full . Dufc / , , ;Y' .Z / • <br />Name of Per'son causing , > �j=�1�.F� <br />alleycd complaint `� ���AY��r�S <br />Address or directions ,� �f /5`- (. C.-'�:(..Q� i� t;(- • <br />Nature of olleged complaint <br />��C ' /� ' J� <br />� (� ��.,� r .� C * � �% r 11...L_ <br />(/ . � <br />�lame of Person Reporting (Plensc sign) �����J ���,.t,� ��� <br />Addreu �.� %� [' ��l "�c l �i-t �_ . �- ��,,; ��y-� Phone <br />♦��k�s.k:�.asxiax•kx�:xs��rws�:�xy�x+.wk.st�•>•�.x.w.�i«• fiR/rF}�Rfkkt#l4AtliY1�lff}1Fflf! <br />DO NC!T N.�RITE BELU41' THIS UIJE <br />Rk�'i}t#!*lffrlriff#!x*i4kkk4k*f#*�itk}trR�lhfkwf#�RR/rhtlr#k!4#I�kft1�*R�l1ek�1f4}M�*Rikatt* <br />� /I <br />Investigated by_���J � , „ �, Date�� /- /•7/ <br />e ._--�C.�,(.� � <br />Q/ / � / <br />Conditions found _ /I., . %... ,,: . , _ ! , .; , /' -['-.. <br />{�IY:FY11��{j{,�_ �� <br />Person (s) contacted <br />Action taken _1� <br />tacv,�tv�1 <br />T� ��_ � r�� ' • ,�' � �- <br />` �..T._' _....._� <br />- .. _�,. �.., i . <br />, ., ? <br />", ..,-r <br />