TOWN OF TURNER

11 TURNER CENTER ROAD

TURNER, ME  04282

 

Complainant Name: __________________________________________________________

 

        Address _______________________________________________________________

 

                     _______________________________________________________________

 

        Telephone # _________________________

 

 

Nature of Complaint ___________________________________________________________

 

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Person believed to be responsible:

 

          Name: __________________________________________________________   

 

      Address: __________________________________________________________  

 

                     __________________________________________________________

 

(Anonymous complaints will not be accepted)

 

 

Signed: __________________________________________ Date: __________________

 

Received by: ______________________________________  Date: _________________

 

Action taken: __________________________________________________________________

 

 

  

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 CC: Town Manager, Complaintant