HomeMy WebLinkAbout0038 SUNSET LANE - Health 38 SUNSET AOW.,03,TERVH LE
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ItlF�r�ll„il'liij?rll�f:tli"'t�1li�ti,r' 117�11��,��;j�1t171t��J'
NFIRS-1 A COMM FD 05/09/2021 10:41:00 2021-001550 00
Fire Department Date ` Time Incident Number Exposure,
BASIC g Street address I
38 SUNSET LANE4 l LL
OSTERVILLE, MA 02655 Census Tract E
C Incident Type: 321 E Dates and Times E 2 Shift and Alarms
EMS call, excluding vehicle accident Alarm Time05/09/2021 10:41:00
with injury 4 1 COM23
Time Out05/09/2021 10:41:00 Shift Alarm District Alarm Box
p Mutual Aid: None Arriva105/09/2021,10:42:00
_ E 3 Special Studies
Their FDID State Incident Controlled
Cleared05/09/2021 12:00:00
Responding Departments(Press Other) 1 �k�.
F Actions Taken: 33 G, Resources Apparatus Personnel . G2 Estimated Dollar Losses
l
1.Provide advanced life support(ALS) Suppression 0 0 Losses
EMS 1 3 Property Unknown
Other 1 1 Contents Unknown
Personnel Not on Apparatus 0 Pre Incident Value
Total Personnel 4 Property Unknown
Contents Unknown I
H Casualties Deaths Injuries H 3 Hazardous Materials Release J Property Use
Fire Service 0 0 1 or 2 family dwelling
Civilian 0 0
H z Detector I Mixed Property Use
KI Person Entity Involved Kz Owner
SMITH, RUTHANN J �/
38 SUNSET LANE
OSTERVILLE, MA 02655 I v
L Remarks
Walk in regarding elderly female at address not feeling well. Son is aggressive to FD personnel, threatening to
drag his mother to the yard. Refuses to let FF's into home to help her.
Committed
User:ABrouillette 5/9/2021 12:01,11
Elder at risk from will be completed based on report from son and confirmed with patient that there-is-no-run.aing,
water in.the.GA4 and access is severely restricted because of a horde User: DFerola 05/09/2021 12:59:17
M DAVID FEROLA Firefighter/Paramedic Fire Officer 05/09/2021
Officer in Charge Rank Assignment Date
DAVID FEROLA Firefighter/Paramedic 06/09/2021
Member Making Report Rank Assignment Date
R
SS Special Studies
ID Title Entry Description
9244 COVID 19 Discovery No,COVID 19 was not a factor.
Date:5/10/2021 Centerville-Osterville Marstons Mills Fire Page: 1
I
Anderson, Robin
From: Hill,Patrick <phill@commfiredistrict.com>
Sent: Monday, May 10, 2021 9:17 AM
To: Anderson, Robin
Subject:.. FW: 38Sunset Ln Osterville.
I Good morning Robin,
Attached below is the initial email we received in regardlo the message I left you earlier this morning.As you can see in
the email,the EMS crew reported no running water, defecating into bags,and a house full of trash and clutter. Please leto
me know what else you need from me,and how you'd like to handle this moving forward.Thanks Robin, have a great-
day. i
t
Patrick R. Hill
Lieutenant/Fire Prevention Officer
Centerville-Osterville-Marstons Mills Fire Dept.
1875 Falmouth Road
Centerville, Ma 02632
(508)790-2375 ext. 1 � `
o
From: Ferola, David
Sent: Sunday, May 9, 20211:25 PM
To: Eldridge, Byron <beld ridge @commfi red istrict.com>; Winn, Mike <mwinn@commfiredistrict.com>;Hill, Patrick
<phill@commfiredistrict.com>; Grossman, Michael<mgrossman@commfiredistrict.com>; Daverri,Jason
<JDavern@commfi red istrict.com>;Adams,Chris<cadams@commfi red istr,ict.com>
Subject 48-Sunset Ln Osterville. `a
Good afternoon, this correspondence is in regards to 38 Sunset Ln Osterville. Today at Station 2 the gentleman that
lives at that address rode his bike to the station to report his mother was very in and required oxygen. During our
interview to gain more information the reporting party made a statement that we could not come into the home to
assist his mother,that he would bring her out to us, he then rode off. I contact dispatch to report the situation and
request BPD and 321 to the scene. We proceeded to the scene in 325 and were met by the reporting party who again
stated we could not enter the home to assist his mother that he would get her dressed and have her walk out. I strongly ,
advised against this course of action and stated exerting her could worsen her condition. He stated the house was full of-
clutter and trash and that there was no running water in the home. The reporting party al---_ ta`_tem,himself and his 7' -
mother were-voiding.and.defecating in!bags becauselof th'e"li&'of running water PD.arrived and asked'theµreporting
artto step nd`lef`us "do odr-ob" the-re ortin art stated to the officer he would not be told what to do and
p p 1 �— P g'p y
that we, (FD or PD) were not going in the house. The only access I had was a brief visual when the door was opened to
retrieve the patient and noticed a large amount of trash and other debris at the front door. Once patient contact was
made we found a very frail very weak 87 y/o female that could barely stand. She did not appear to be in extremis
however she was short pf breath with marked hypertension. She was treated pre-hospital for CHF symptoms. I feel that
this patient in her advanced age, coupled with the squalor conditions and lack of running water poses a clear and
present risk to her health and safety, despite her stating to EMS that her son "does the best he can to care for her" I
don't believe that this situation is intentional based on the interactions with the son, I do feel that his indifference
regarding the living conditions and unwillingness to allow outside agencies access is causing his mother, (our patient).
C,
1
undo harm. I have filed and elder at risk form, l am not sure what can be done from that angle,the property however is
most assuredly a safety risk to our members in the event of a fire.
David Ferola NREMT-P
CAUTION:This`.email.originated from out'Mde df the Town of Barnstable .Do rnot-chck i'riks.,open
attachments or reply, unless you recognize"'the sender's email address and know the content s.safe!.
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Bi131.'�'XT'tL3Lk, i�� -
61 iR5 fill
Citizen Request Management - Internal Use
Request ID: 91813 Created: 9/2/2021 12:13:44 PM
Status: Closed Assigned To: Parziale, Jim
Health Department
Anonymous: No Category: Chapter II : Housing
Substandard
E.C. Date: 9/17/2021
Created By: Bellaire, Dianna Citations:
Health Department
Time Worked: 0.50 Response Time: 8.00
Requestor Details:
I
Email:
Request Location:
38 SUNSET LANE
Osterville, Ma 02655
Parcel Number: Map: 117 Block: 115 Lot: 000
Request:
Social worker called because the owner Ruth Ann Smith is sick in the hospital and the
social worker doesn't want to release the mother. She wants an inspector to go out there
because Ruth told her that the house is condemned and her son has been living there with
her for over a year without water. The complaint started with Robin Anderson and was given
to Tim O'Connell and a registered letter was sent to owner that house is condemned. Sharon
Crocker called COMM water and they stated the water has been off and was shut off by son.
This may be a case of elder abuse. The social worker is asking for a call back regarding the
release of Ruth to go home.
Request Work History:
Entered on 9/8/2021 8:53:11 AM
by Parziale, Jim
could not gain access to house to inspect. called social worker but never heard back.
Internal Note History:
Entered on 9/2/2021 12:13:44 PM
by Bellaire, Dianna
TM asked me to assign to Jim R as Tim 0. is on vacation. Jim will try and speak to the son.
System entry on 9/2/2021 12:13:44 PM:
Assigned to Beaulieu, Andrew
System entry on 9/2/2021 12:14:13 PM:
Assigned to Parziale, Jim
Entered on 9/2/2021 12:15:55 PM
by Bellaire, Dianna
Jim please call the social worker when you have a chance today. She works until 4pm.
System entry on 9/14/2021 8:35:00 AM:
Request Closed by parzialj
Miorandi, Donna
From: Crocker, Sharon
Sent: Tuesday, March 13,2012 1:38 PM
To: Miorandi, Donna
Subject: Complaint-assignment
Hi Donna,
I received a call for a housing complaint that also appears to be an elderly who is being mistreated. They do not
have funds to fix toilet. The caller said it has not worked for a month. This is not a rental. Normally, I would assign a
housing issue to Tim or Jim. You are s000 good at assisting elderly in need of help that I assigned it to you. Please
review complaint. I will be happy to reassign it if you are unable to do.
Thank you.
Sharon
� I
6
Health Complaints
28-Jan-99
Time: 3:19:10 PM Date: 1/28/99 Complaint Number: 1697
Referred To: GLEN HARRINGTON Taken By: LS
Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH
Article X Detail:
Business Name:
Number: Street: SUNSET AVE.
Village: OSTERVILLE Assessors Map-Parcel:
I
Complaint Description: HE COMPLAINED TO CHIEF FARRINGTON
OF THE C&O FIRE STATION ABOUT AN
UNSECURED VACANT HOUSE NEXT TO 38
SUNSET AVE. THERE IS AN OPEN
WINDOW. THERE ARE ALSO MANY RATS
AROUND PROPERTY, BUT DID NOT
COMPLAIN ABOUT RUBBISH EXCEPT THAT
THE PROPERTY IS BACKED UP TO MANY
COMMERCIAL BUILDINGS THAT HAVE
DUMPSTERS. HE WOULD LIKE IT LOOKED
INTO AND YOU CAN LET BUILDING KNOW
ALSO.
Actions Taken/Results:
Investigation Date: Investigation Time:
qL( .ram fie.
S vim.S ^k,* C Coo J-�� -. : C�L, 1 cam. a
Pik- r7
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' a [ l P v�?1.c1 a �"+,. J"�j i d2vtw Ld-e �� .��
eV
rr TOWN OF BARNSTABLE
F
LOCATION T� S yt� SEWAGE #
VILLAGE ®� � \��_ (M�,, ASSESSOR'S MAP 6 LOT��'�"
` 1411
INSTALLER'S NAME & PHONE NO.c&(-\".j tVv Apw<, a0q
SEPTIC TANK CAPACITY 10 0 G
LEACHING FACILITY:(type)_ CeST®�o (size)
NO. OF BEDROOMS.PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER AA C&t c_p(A,\ � V
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: �
VARIANCE GRANTED: Yes No
�i�•� ��� �� � S V
� '
r-
M� P, _�4 lt�
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH �
TOWN OF BARNSTABLE
Appliration for DinVntial iVorkii Tomitrnrtinn Permit
Application is hereby made for a Permit to Construct ( ) or Repair ) an Individual Sewage Disposal
System at, 0
0 � j�' S�'
..--•----------------•-•.------•••- •••••----.....----•........------................ -- . ...........
Loc tin or t
No.
.. ........A
Ow ner p dress
Installer Address
UType of Building Size Lot............................Sq. feet
.-t Dwelling—No. of Bedrooms______________ --------------.--------Expansion Attic ( ) Garbage Grinder ( )
`4
p., Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
a' Other fixtures
W Design Flow............................................gallons per person per day. Total daily flow--------------------------------_........___gallons.
WSeptic Tank—Liquid capacity------------gallons Length_--_._-_._..._- Width________________ Diameter................ Depth................
x Disposal Trench— No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------_-_------- Diameter.................... Depth below inlet.................... Total leaching area........_.........sq. ft.
z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed bY-------------------------------------------------------------------------- Date........................................
Test Pit No. 1----------------.minutes per inch Depth of Test Pit____________________ Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
9 -----------------------------------••---------•----------•--------------•-------•-----------.............•------•------•--•-------•••--•---------------...._.
0 Description of Soil____________ -_____
- ---------------------------------------------------------------------------------------------------------------------------------
V ..................... -----•--• -----
----------------------•------------------•-----------------•----------------------•-----------...---- ------- ---------------------------------------------------------------------.... ----.... .-.
U Nature of epairs�Or Alterions—Answer when applicable._-_. '�.��______ �?___._._ ��5 .-
� ��-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Comp ' nce has been issued by the board of health.
Signed . - - ....... .. .............:......
to q
Application.Approved BY - - ''_ 3-------..L..�.L-S-.--..
Dare
Application Disapproved for the following reasons: .................................. . ........... ........ .. .............. ----_---------------..... ...r.
..........................------------------ - 3 R
�y Date
Permit No. . ..... 1� ..... �. ----------- Issued .. . ........ ....-.../...7"9 ..............
Date
No.....�.......��� �C(�C� ( Fps .4..ob
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Dio.poittl Work,5 Tonotrnrtion Permit
Application is hereby made for a Permit to Construct ( ) or Repair X) an Individual Sewage Disposal €�
System at
...................................� � ....______ .__Y_..._..._.___.._ __._..___________________.____._..__._._.._____.__.___._..._._.._.__........_... ............__._
Locati n-A.dre s or rat No.
�t/�•l W1--1
}- : .
Owner
moX �n dress
... / ............ \n�
VRPQ�--_ __ . ..___ 4.....�
Installer Address
^
UType of Building Size Lot............................Sq. feet,
Dwelling—No. of Bedrooms................ ....................._-.-Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ............................ No. of persons------------------------.--- Showers ( ) — Cafeteria ( )
QOther fixtures ------------------------- --------------_----------------------------- - -------- ---_-- ----------------------------------------------------
W Design Flow.................:..........................gallons per person per day. Total daily flow..------------------------------------------gallons.
WSeptic Tank—Liquid capacity--_.--.-_-_gallons Length.--------------- Width---------------- Diameter---...---------- Depth--.--______-.._
x Disposal Trench—No. .................... Width-------------------- Total Length._--____-- ___---__ Total leaching area....................sq. ft.
Seepage Pit No-------------_....... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.------:--------------------- ............................................ Date........................................
a Test Pit No. I----------------minutes per inch Depth of Test Pit----.___.-__--_-_ Depth to ground water...-_.--__._.-__.---.---
f14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water.........................
P4 ......•••••-----------------••-'••••---•-•------•-••---•----'•'-------••......'--'-.........._------..........................................................
0 Description of Soil.----- -•--- ---''---------------- ...-•'-----------------'---'----------•----------'------------------'-------"---=-'---••-•--•-••---.......----'-
x
W •'-'••-'-•-•-- ------------------------------------------------------------'------------ -
U Nature of epairs or Alter tions—Answer when applicable�.,___7 a.. . _._.1`Z,X Sa::.�... ot°
s._....
� v x % `l.`4_T� Q......_
may, ..
Agreement: s
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in aZdance with'
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Comp k�nce has been issued by the board of health.
Signed .1 r. ........... ........... .. ...........................
Dace �,
Application,Approved By -------:-------G--� ------- ............ .. /` ^'�...
Dace
Application Disapproved for the following reasons: ------------------------------------...----------............---------------------------.....................---- --r`� ...
................................................... -- - - - - - - _ - - - .�
................ - ---- ---- ---- ---- ---- ------...-----------.......-----................--------- ----...... .. --------- ------------ ---- .. .q. .
Dace
Permit No. .......W _ ............ Issued . ..........S..-- � 91, --------------
Date
THE COMMONWEALTH OF MASSACHUSE17S
BOAFiD OF HEALTH
TOWN OF BARNSTABLE
TertifiratE of Comptianre
THIhIS TO CERTIFY, That the Individu Sewage Di posal System constructed ( ) or Repaired
_ ( ^
` -4 .`,^ ----- N `. a �-_�- -
by .. �G� Inscaliec
at .................... ......... -w..._. -C... ...--------- v4�--.._.--------- ..` -�"-..1�. 1.k '
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. �� �"..�� ....... dated .....-,.47..._--.�--
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL UNC�TIOiSATISFACTORY.
'DATE----------------�.._............ .. -------- ----- Inspectof"--- - ,
1 1 ! THE COMMONWEALTH OF MASSACHUSETTS
�- /S 1v BOARD OF HEALTH
TOWN OF BARNSTABLE
No..... J D FEE. ,0 C)
Bispo ii1 orko Tonotr1n-dio Per it
r. Permission is hereby granted_ Cs-' - --}�-�"................ K .t. _`! . . - ............................................
to Construct ( ) or Repair (. } an Individual Sewage Disposal System
at No... � � �-
--.-- ---- cue /!
Street q��•'.r----JV ----.f-.�...p.•.^.._..__
as shown on the application for Disposal Works Construction Permit �i�7_.._�P Dated....._2." l..S
Board of Health
DATE --- ---' --------so =
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
Anderson, Robin
From: Hill, Patrick <phill@commfiredistrict.com>
Sent: Monday, May 10, 2021 9:17 AM
To: Anderson, Robin
Subject: FW: 38 Sunset Ln Osterville.
Good morning Robin,
Attached below is the initial email we received in regard to the message I left you earlier this morning. As you can see in
the email, the EMS crew reported no running water, defecating into bags, and a house full of trash and clutter. Please let
me know what else you need from me, and how you'd like to handle this moving forward.Thanks Robin, have a great
day.
Patrick R. Hill
Lieutenant/Fire Prevention Officer
Centerville-Osterville-Marstons Mills Fire Dept.
1875 Falmouth Road
Centerville, Ma 02632
(508)790-2375 ext. 1
From: Ferola, David
Sent:Sunday, May 9, 2021 1:25 PM
To: Eldridge, Byron <beId ridge @commfiredistrict.com>; Winn, Mike<mwinn@commfiredistrict.com>; Hill, Patrick
<phill@commfiredistrict.com>; Grossman, Michael<mgrossman@commfiredistrict.com>; Davern,Jason
<JDavern@commfiredistrict.com>; Adams, Chris<cadams@commfiredistrict.com>
Subject: 38 Sunset Ln Osterville.
Good afternoon, this correspondence is in regards to 38 Sunset Ln Osterville. Today at Station 2 the gentleman that
lives at that address rode his bike to the station to report his mother was very in and required oxygen. During our
interview to gain more information the reporting party made a statement that we could not come into the home to
assist his mother,that he would bring her out to us, he then rode off. I contact dispatch to report the situation and
request BPD and 321 to the scene. We proceeded to the scene in 325 and were met by the reporting party who again
stated we could not enter the home to assist his mother that he would get her dressed and have her walk out. I strongly
advised against this course of action and stated exerting her could worsen her condition. He stated the house was full of
clutter and trash and that there was no running water in the home. The reporting party also stated himself and his
mother were voiding and defecating in bags because of the lack of running water. PD arrived and asked the reporting
part to step back and let us"do our job" the reporting party stated to the officer he would not be told what to do and
that we, (FD or PD) were not going in the house. The only access I had was a brief visual when the door was opened to
retrieve the patient and noticed a large amount of trash and other debris at the front door. Once patient contact was
made we found a very frail very weak 87 y/o female that could barely stand. She did not appear to be in extremis
however she was short pf breath with marked hypertension. She was treated pre-hospital for CHF symptoms. I feel that
this patient in her advanced age, coupled with the squalor conditions and lack of running water poses a clear and
present risk to her health and safety, despite her stating to EMS that her son "does the best he can to care for her" I
don't believe that this situation is intentional based on the interactions with the son, I do feel that his indifference
regarding the living conditions and unwillingness to allow outside agencies access is causing his mother, (our patient)
undo harm. I have filed and elder at risk form, I am not sure what can be done from that angle, the property however is
most assuredly a safety risk to our members in the event of a fire.
David Ferola NREMT-P
CAUTION:This email originated from outside of the Town of Barnstable! Do not click links open
attachments or reply, unless you recognize the sender's email address and know the content is safe!
2
NFIRS-1 A COMM FD 05/09/2021 10:41:00 2021-001550 00
Fire Department Date Time Incident Number Exposure
Basic B Street address
38 SUNSET LANE
OSTERVILLE, MA 02655 Census Tract '
C Incident Type: 321 E i Dates and Times E 2 Shift and Alarms
EMS call, excluding vehicle accident Alarm Time05/09/2021 10:41:00
with injury 4 1 COM23
Time Out05/09/2021 10:41:00 shift Alarm District Alarm Box
p Mutual Aid: None Arriva105/09/2021 10:42:00
E 3 Special Studies
Their FDID state Incident Controlled
Cleared05/09/2021 12:00:00
Responding Departments(Press Other)
F Actions Taken: 33 G1 Resources Apparatus Personnel G2 Estimated Dollar Losses
1.Provide advanced life support(ALS) Suppression 0 0 Losses
EMS 1 3 Property Unknown
Other 1 1 Contents Unknown
Personnel Not on Apparatus 0 Pre Incident Value
Total Personnel 4 Property Unknown
Contents Unknown
H i Casualties Deaths Injuries H 3 Hazardous Materials Release J Property Use
Fire Service 0 0 1 or 2 family dwelling
Civilian 0 0
H 2 Detector I Mixed Property Use
KI Person Entity Involved Kz Owner
SMITH, RUTHANN
38 SUNSET LANE
OSTERVILLE, MA 02655
L Remarks
Walk in regarding elderly female at address not feeling well. Son is aggressive to FD personnel, threatening to
drag his mother to the yard. Refuses to let FF's into home to help her.
Committed
User: ABrouillette 5/9/2021 12:01:11
Elder at risk from will be completed based on report from son and confirmed with patient that there is no running
water in the home and access is severely restricted because of a horde User: DFerola 05/09/2021 12:59:17
M DAVID FEROLA Firefighter/Paramedic Fire Officer 05/09/2021
Officer in Charge Rank Assignment Date
DAVID FEROLA Firefighter/Paramedic 05/09/2021
Member Making Report Rank Assignment Date
R
SS Special Studies
ID Title Entry Description
9244 COVID 19 Discovery No,COVID 19 was not a factor.
Date:5/10/2021 Centerville-Osterville Marstons Mills Fire Page: 1
s
co
aft - l 13
'P
9/2/2021 Citizen Web Request
�tQI . . 4�jz Citizen Request Management
3 Request ID: 91813 Created: 9/2/2021 12:13:44 PM
ParzStatus: Assigned To Staff Assigned To: Healthe, Jim
Health Department
Anonymous: No Category: Chapter II ; Housing
Substandard
E.C. Date: 9/17/2021
%r Created By: Bellaire, Dianna Citations:
Health Department
Time Worked: 0.00 Response Time: 0.00
WIN,III
Request Location:
38 SUNSET LANE
Osterville, Ma 02655
Parcel Number: Map: 117 Block: 115 Lot: 000
Request:
Social worker called because the owner Ruth Ann Smith is sick in the hospital and the
social worker doesn't want to release the mother. She wants an inspector to go out there
because Ruth told her that the house is condemned and her son has been living there with
her for over a.year without water.The complaint started with Robin Anderson and was given
to Tim O'Connell and a registered letter was sent to owner that house is condemned. Sharon
Crocker called COMM water and they stated the water has been off and was shut off by son.
This may be a case of elder abuse. The social worker is asking for a call back regarding the
release of Ruth to go home.
Request Work History:
https://itsgldb.town.barnstable.ma.us/CitizenRequest/WRequestPrintPub.aspx?ID=91813 1/1
I
USPS TRACKING#
First Class Mail
?°. Postage&Fees Paid
11111 Jill 11 on PMr3 L USPS
Permit No.G-10
9590 9402 6702 1060 1009 22
United States •Sender:Please print your name,address,and ZIP+4®in this box'
Postal Serv►--
/; Town of Barnstable
! `•. Health Division
•� 200 Main Street
Hyannis, MA 02601
Itlf►iill"►i'lil�dill]Jll"HPI,i,ill!"llid'i iiljl'liilli
o Complete items 1,2,and 3. A.
o Print your name and address on the reverse gent
so that we can return the card to you. X I Addressee
to Attach this card to the back of the mailpiece, B. Received by(Printed am C. D e of elivery
or on the front if space permits.
1. Article Addressed to: f D. Is delivery address different from item ? Ye
2 J i L, ry If YES,enter delivery address below: ❑No
0 )-(a55
3. Service Type ❑Priority Mail Express@
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