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North Andover Board of Assessors Public Access w Page 1 of 1
NOR7N Idorfh Andover Board of Assessors
roperty Record Card
Parcel ID :210/035.0-0098-0000.0 FY:2012 Community :North Andover
Click on Sketch to Enlarge Click on Photo to Enlarge
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114 L-7B OLD FARM ROAD
Location: 114 OLD FARM ROAD f
Owner Name: COVIELLO,CARMEN A
DEBRA COVIELLO
Owner Address: 114 OLD FARM ROAD
City: NORTH ANDOVER State: MA Zip: 01845 j
Neighborhood:6-6 Land Area: 1.00 acres
Use Code: 101-SNGL-FAM-RES Total Finished Area: 2884 sqft
i
Total Value: 518,700 518,700
Building Value: 311,800 311,800
Land Value: 206,900 206,900
Market Land Value: 206,900
Chapter Land Value:
LATEST SALE
Sale Price: 1 Sale 07/17/2001
Date:
Arms Length Sale COVIELLO,
Code: F-NO-CONVNIENT Grantor: CARMEN A
Cert Doc: Book: 06255 Page: 0330
http://csc-ma.us/PROPAPP/display.do?linkld=1889461&town=NandoverPubAcc 5/30/2012
Residential Property Record Card
PARCEL ID:210/035.0-0098-0000.0 MAP:035.0 BLOCK:0098 LOT:0000.0 PARCEL ADDRESS:114 OLD FARM ROAD FY:2012
PARCEL INFORMATION Use-Code: 101 Sale Price: 1 Book: 06255 Road Type: T Inspect Date: 05/08/2008
Tax Class: T Sale Date: 07/17/01 Page: 0330 Rd Condition: P Meas Date: 05/08/2008
Owner: Tat Fin Area: 2884 Sale Type: P Cert/Doc: Traffic. M Entrance: C
COVIELLO,CARMEN A Tot Land Area: 1.00 Sale Valid: F Water: Collect Id: RRC
DEBRA COVIELLO Grantor: COVIELLO,CARMEN A Sewer: Inspect Reas: C
Address: -
114 OLD FARM ROAD Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LO/o Indust-B/L% / Open Sp-B/L% /
NORTH ANDOVER MA 01845
RESIDENCE INFORMATION LAND INFORMATION
Style: CL Tot Rooms: 9 Main Fn Area: 1610 Attic: NBHD CODE: 6 NBHD CLASS: 6 ZONE: R2
Story Height: 2.00 Bedrooms: 4 Up Fn Area: 1274 Bsmt Area: 1232 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class
Roof: H Full Baths: 2 Add Fn Area: Fn Bsmt Area: 400 1 P 101 S 43560 1.000 206,910
Ext Wall: FB Half Baths: 1 Unfin Area: Bsmt Grade: VALUATION INFORMATION
Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: 2884 Current Total: 518,700 Bldg: 311,800 Land: 206,900 MktLnd: 206,900
Foundation: CN Bath Qual: T RCNLD: 311820
Kitch Qual: T Eff Yr Built: 1987 Mkt Adj: Prior Total: 518,700 Bldg: 311,800 Land: 206,900 MktLnd: 206,900
Heat Type: HW Ext Kitch: Year Built: 1985 Sound Value:
Fuel Type: O Grade: G Cost Bldg: 311,800
Fireplace: 1 Bsmt Gar Cap: Condition: A Aft Str Val1:
Central AC: Y Bsmt Gar SF: Pct Complete: Aft Str Va12:
Aft Gar SF: 576%Good P/F/E/R: /100/100/88
Porch Type Porch Area Porch Grade Factor
T 240
W 336
SKETCH PHOTO
'�.
T
».<
10 zoo SgFt so > �
24 24
W FM L_
14 336 SgFt 14 336 SgFt 1424 24 44
9L
'I
24 576 SgFt IM
24 19 A 28 .E .�.
FU
1274 SgFt =`
114 L-713 OLD FARM ROAD -
14
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Parcel ID:210/035.0-0098-0000.0 as of 5/30/12 Page 1 of 1
Residential Property Record Card
PARCEL ID:210/035.0-0098-0000.0 MAP:035.0 BLOCK:0098 LOT:0000.0 PARCEL ADDRESS:114 OLD FARM ROAD FY:2012
PARCEL INFORMATION Use-Code: 101 Sale Price: 1 Book- 06255 Road Type: T Inspect Date: 05/08/2008
Tax Class: T Sale Date: 07/17/01 Page: 0330 Rd Condition: P Meas Date: 05/08/2008
Owner: Tot Fin Area: 2884 Sale Type: P Cert/Doc: Traffic: M Entrance: C
COVIELLO,CARMEN A Tot Land Area: 1.00 Sale Valid: F Water: Collect Id: RRC
DEBRA COVIELLO Grantor: COVIELLO,CARMEN A Sewer: Inspect Reas: C -
Address:
114 OLD FARM ROAD Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/° Indust-B/L% / Open Sp-B/L% /
NORTH ANDOVER MA 01845
RESIDENCE INFORMATION LAND INFORMATION
Style: CL Tot Rooms: 9 Main Fn Area: 1610 Attic: NBHD CODE: 6 NBHD CLASS: 6 ZONE: R2
Story Height: 2.00 Bedrooms: 4 Up Fn Area: 1274 Bsmt Area: 1232 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class
Roof: H Full Baths: 2 Add Fn Area: Fn Bsmt Area: 400 1 P 101 S 43560 1.000 206,910
Ext Wall: FB Half Baths: 1 Unfin Area: Bsmt Grade: VALUATION INFORMATION
Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: 2884 Current Total: 518,700 Bldg: 311,800 Land: 206,900 MktLnd: 206,900
Foundation: CN Bath Qual: T RCNLD: 311820 Prior Total: 518,700 Bldg: 311,800 Land: 206,900 MktLnd: 206,900
Kitch Qual: T Eff Yr Built: 1987 Mkt Adj:
Heat Type: HW Ext Kitch: Year Built: 1985 Sound Value:
Fuel Type: O Grade: G Cost Bldg: 311,800
Fireplace: 1 Bsmt Gar Cap: Condition: A Aft Str Val1:
Central AC: Y Bsmt Gar SF: Pct Complete: Aft Str Val2:
Aft Gar SF: 576%Good P/F/E/R: /100/100/88
Porch Type Porch Area Porch Grade Factor
T 240
W 336
SKETCH PHOTO
T v kc ' a4
10 240 SgFt 10 a
i
24 24
W FM
14 336 SgFt 14 336 SgFt 1424 24 44
1
576 SgFt BM -
24 24 14
28 FU 28
1274 SgFt24
114 L-7B OLD FARM ROAD
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Parcel ID:210/035.0-0098-0000.0 as of 5/30/12 Page 1 of 1
Nbrth Andover Police Department Incident Number: 2012000011725
1475 Osgood Street File No: NIA
North Andover, Ma. 01845-4099 Dispatch Incident Number: 2012000012368
(978) 683-3168 Print Date: May 26, 2012
Incident Report Printed By: jstaude
Incident Infoftnation "_
Occurred: Day of Date Time Occurred,: Day of Date Time Reportetl; Date Time
00'1 r.pm Week To Week
Sat 05/26/2012 9:10:40AM ;` Sat 05/26/2012 9:10:40AM # 5/26/2012 9:10:40AM
Reported As Incident Type-Primary Arresting Officer
Animal Complaint-Wild Animal Complaint-Wild
Incident Address Reporting Officer
114 Old Farm Road, North Andover, MA 01845 Patrolman Jay Staude
Sector Stat.Area Sub Stat.Area CenTract Landmark
Sector 2 sus
Business Name Incident Types-Other
N/A
Aaso�ci�EedPsrsorts:Suinmary •
Type Klame(Last,Farst,Ml} Date of`Birth S'ex Home Pone# Ceil phone# Wdrk Phone ::
Caller COVIELLO, DEBRA GARLICK4/18/1957 1 F (978)807-5993 N/A N/A
------------------ =------------------------ ----------- ------------- ----- --------------- - ------ ---- -------- --------------------- ..................
ad�dres 114 Old Farm Road, North Andover,MA 01845
soe)8ted�ueir�e's�`ses�Surrtm"arj►
Type , Na`ne Pnmary Phone# :Secondary Phone•#':.
No Associated Businesses reported for Incident#:2012000011725
InV,olved Officers,
Officer.Title Officer Name Officer
Divisibh;
Patrolman Jay S Staude Reporting Officer Operations
Patrolman Jay S Staude Responding Officer Operations
'IBR/t)G�t pffenses `t '
Offense Number IBR Type Chapter Section Statute ID IBR Type bescnption
No Incident Offenses Recorded for Incident#:2012000011725
'Oorrlplajnly Changes
Seq"# Chapter Section. Name{Last First NI!}. Deser�pUon of:Offense`
No Complaint Offenses Recorded for Incident#;2012000011725
Vdhicleiirtfo -
Vehicle No::. Vehicle Mak Vefticie Model'. Vehicle Year VIN. Primary Color:.; Secoeqaid'o!qdPlate No;: State
No Vehicle Info Recorded for Incident#:2012000011725
fir'dperty
No Property Info reported for Incident#:2012000011725
Citation:No: Cotle Date Status St to
„ Descri tion
No Citations reporqDd for Incident#:2012000 11725
nA4nnnINA 447n9 o___4 _L n ne„n.+ ,
North Andover Police Department Incident Number:2012000011725
1475 Osgood Street File No: NIA.
North Andover, Ma. 01845-4099 Dispatch Incident Number: 2012000012368
(978) 683-3168
Print Date: May 26,2012
Incident Report Printed By: jstaude
Narratives for Incident Number 2012000011725? Yes
Other Narratives not authorized for print? None
Narratives this user authorized to print:
Narrative by; Patrolman Jay Staude: Diwsion;Operations
Date&Time Narrative Description Entered by Status Reviewed by Last Edit Date
05/26/2012 09:32 Patrolman Jay Staude Open 05/26/2012
I Officer Staude report the following
On 5/26/12 at approximately 9:00 a.m for the report of a bat in the house.
Upon arrival the homeowner directed this Officer to the kitchen where an injured bat was lying on the kitchen
floor.
the bat waslaced into a ba b this Officer and returned to the station.
P 9 Y
The resident was concerned for her and her family's safety in reg rds to possible rabies contamination and
asked if th mily could be no ' le should the bat test positive for abies.
Ig r - eporfing fficer Sign re-Reviewing Officer
Incident s:
Create;User 10-
Date&Time
No Incident Notes Listed
InAA—f w,mhorr 9nt,)nnnni177A
North Andover Police Department
Incident Narrative Report
Print Date: May 26,2012 Printed BY: dcrevier
Narratives for Incident Number 2012000011725? Yes
Other Narratives not authorized for print? None
Narratives this user authorized to print:
Narrative by; Sergeant Daniel Crevier.
Date&Time Narrative Description Entered by Reviewed by Last Edit Date
05/26/2012 11:18 Sergeant Daniel Crevier Open 05/26/2012
On May 26, 2012, at 1 lam, I spoke with Will Lapsley of the Department of Public Health. He contacted the
homeowner Debra Coviello and was informed that the Bat may have been in the house for some time, She
reported to him that the family cat is in the house and she could not be certain that there was no contact with
the bat.
Mr Lapsley explained to me that the Bat would qualify for submission to the lab on Tuesday, either by
overni ht mail or transport. The Bat was secured in the NAPD evidence refrigerator until Tuesday.
igna ure-Reporting Officer Signature-ReViewifig Ofter
- --------------------------------------------------------------------------------------------------------------------------------------------------------
Donn 1 of 1 P1Narmf1%taAinn1a lAmn/11
NORTH ANDOVER POLICE DEPARTMENT
PAUL J.GALLAGHER,CHIEF OF POLICE . TELEPHONE:978-683-3168 . FAX:978-681-1172
FACSIMILE TRANSMITTAL SHEET
TO: FROM:
NA Health Dept Sgt Dan Crevier
COMPANY: DATE:
MAY 26,2012
FAX NUMBER: TOTAL NO.OF PAGES INCLUDING COVER:
978-688-8476 4
PHONE NUMBER: SENDER'S REFERENCE NUMBER:
2012-11725
RE: YOUR REFERENCE NUMBER:
Bat Recovered- 114 Old Farm Road
❑URGENT ❑FOR REVIEW ❑PLEASE COMMENT ❑ PLEASE REPLY ❑PLEASE RECYCLE
NOTES/COMMENTS:
See Attached
NOTE: If you have any questions or problems regarding the materials being faxed, please
contact me at the above numbers.
The information contained in this transmission is privileged, confidential and intended only
for the use of the individual or entity named above. If you are not the intended recipient,you are
hereby notified that any disclosure,copying,distribution or the taking of any action in reliance on
the contents of this facsimile transmission is strictly prohibited. If you have received this
communication in error, please notify the North Andover Police Department immediately by
telephone. Collect and return the original message to us at the address shown above,via the U.S.
Postal Service.We will reimburse you for required postage, telephone calls or any other expenses
you may incur.
1475 OSGOOD STREET NORTH ANDOVER MA 01845
Fax Send Report
Date & Time : MAY-26-2012 11:30AM SAT
Fax Number : 9786811172
Fax Name : NAPD COMM CENTER
Model Name CLX-6240 Series
No Name/Number Start Time Time Mode Page Result
445 819786888476 05-26 11:28AM 01'49 G3 004004 O.K
NORTH ANDOVER POLICE DEPARTMENT
PAUL J.GAf1AGHER,CHIEF OA E01.10E.TFASPHON6:976H3.3168.FAX.-97&481-U72
PAGSIMILE TRANSMITTAL SHEET
TA VanM:
NA Health Dept t Sgt Dan Crev1G
QM7VANY: —P,
MAY u,2012
PATI NVMM1EN 'flTrn7.NU.Im PAG V'.rnfAueRK. :
978 LtlN tta7! 4
wn7n«nUunNt WMDRR511EFRRENCR NU M-
2012-11725
an, VDnR InWNNIW Q.'NDNalat:
BatRecovead-114 Old Faun Road
O OROENT O COR KEY— 13 rLEAsu comM T 13 PwAan w,LY 17 PLEAna Rnt.W.LE
NO'fed/COMNCNI'i"
See Attached
Lyb? z If you have sly questions or problems regarding the materials being faxed,please
-watt me car the above numbers.
The information contained in this transmission is privtegod,confidential and intended only
for the use of the individual or entity named above.If you ase not the intended recipient,you are
hereby notified that any 4mlo3um,oopying•distabution ot the riling of any action m rclilmx an
the comems of this kcsimile transmission is Sri*prohibited.If you have received tha
communication in emrr,pin5e notify the North Andover Police Department unmeMately by
telephone.Collect and remm the original message to us at the address shown above,via the U.&
Pond Service.We will reimburse you for requited postage,telephone calls or arty other expenses
you may incur.
1475 OAGOOD aTRP.aT NORTH ANDOVaa NA Aaa45
MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
WILLIAM A.HINTON STATE LABORATORY INSTITUTE
RABIES LABORATORY
305 SOUTH STREET,JAMAICA PLAIN,MA 02130
INSTRUCTIONS FOR SENDING SPECIMENS FOR RABIES TESTING
IMPORTANT:All animals must be euthanized prior to submission.Rabies testing is provided at no charge as a public service;
therefore,only animals that have potentially exposed a human or domestic animal to rabies should be submitted for testing.For most
specimens,the head must be removed from the body and the entire head should be submitted.Bats should be submitted whole,
without removing the head.For large animals,or those undergoing other diagnostic procedures,submission of the cerebellum and a
complete cross-section of the brainstem is permissible.Failure to submit a complete sample will usually result in an inconclusive
test result.
Materials:
• 2 zipper-lock or otherwise sealable,leak-proof plastic bags • Labels to identify specimens on bags and forms
• Absorbent material(pads,paper towels,etc.) • I mailing container (cardboard box or plastic foam)
• 1 frozen cool pack.Do not use ice • Cushioning material(newspaper,etc.)
• 1 pair disposable gloves • Biohazard label
• 1 permanent marker • Rabies Lab shipping label(UN3373-Category B)
• Self-sticking document pouches or envelope and tape • Specimen Request for Rabies Testing,SS-RA-1-08
Form: State Laboratory Specimen Request for Rabies Testing,SS-RA-1-09.Submit two per specimen.
Packaging:
1. If submitting more than one specimen, ensure that each specimen is individually double wrapped and packaged. Identify each
wrapped specimen by marking a number on the outer plastic bag. Fill out specimen request forms for each individual specimen
submitted and mark the corresponding number from the specimen bag on the matching specimen form.
2. Wear gloves to package specimen.Wrap the head in an absorbent pad and place the specimen into a plastic bag. Seal the bag.
Place a biohazard label on the outside of the bag. Do not place specimen request form in with the specimen. Do not include
gloves worn in with the specimen.
3. Place the bagged specimen into the larger plastic bag with additional absorbent material to absorb any specimen liquid.
4. Place a prefrozen cold pack into the bag. DO NOT USE ICE. Seal the bag.
5. Place the wrapped,double-bagged specimen inside a cardboard box or foam container with adequate cushioning material.
Place a copy of the submission form(s) in a sealed plastic bag inside the box. Seal the box. Place the original completed
Specimen Submission Form(s)for Rabies Testing in a sealed envelope or document pouch and affix to the container.
Storage:Specimens should be submitted as soon as possible. Keep refrigerated until sent to State Laboratory.Do not freeze
specimens. Frozen specimens will delay testing by at least 1 business day and increase the chance of an unsatisfactory testing result.
If the specimen is frozen accidentally,keep frozen during transport.
Shipping instructions: Specimens for rabies testing are to be packaged and their containers marked in accordance with regulations
for UN3373-Biological Substances,Category B. When properly packaged and labeled,specimens may be transported via the U.S.
m
Postal Service,comercial carrier(such as UPS,FedEx,DHL-Airborne Express,etc.),or private courier.Complete the"return
address"and"person responsible"sections of the shipping/mailing label provided with this instruction form. Place the label on the
outside of the box or foam container and mail to:
Rabies Laboratory
William A.Hinton State Laboratory Institute
305 South St.,Jamaica Plain,MA,02130
Turnaround Time: Specimens received by 12:00 pm Monday through Friday will be tested the same day.Requests for testing
outside of normal business hours must be approved by the Division of Epidemiology and Immunization at(617)983-6800 and after-
hours testing will only be done on an emergency basis.
Reporting Results: Results will be phoned to the submitter when testing is completed. The submitter is responsible for
contacting any individual who needs to be made aware of the rabies test results. For rabies positive animals,anyone listed on
the submission form as being exposed will also be contacted by the Division of Epidemiology and Immunization.
Questions: For testing and specimen transport questions contact the Rabies Laboratory at(617)983-6385,Monday through Friday
between Sam and 5pm.Questions concerning human exposures and the need for testing and prophylaxis can be directed 24/7 to the
Division of Epidemiology and Immunization at(617)983-6800.
SI-RA-2-09
From:
i
Person Responsible
Name:
Phone: ;
ATTN: RABIES LABORATORY
MASS. DEPT. OF PUBLIC HEALTH ;
WILLIAM A. HINTON ;
STATE LABORATORY INSTITUTE
305 SOUTH STREET
JAMAICA PLAIN,MA 02130-3597 ;
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COPY THM LABEL AS NEEDED
,
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,
,
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
TO: Building Commissioner or hoard of IIealth or
Inspector of Buildings Board or Selectmen
Town of N. Andover ) ( Town of N. Andover
1
addresses
N. Andover, MA 01845 ) ( N. Andover, MA 01845
1 (
RE: Insured: Carmen & Debra Coviello
Property address: 114 Old Farm Road
N. Andover, MA
Policy No. HOA5690123
Loss of 3/29/93 19
File or Claim No. WAP16564 Floor Burned
Claim has been made involving loss, damage or destruction of the above-captioned
property, which may either exceed $1,000.00 or cause MASS. GEN. LAWS, CHAPTER 1.43,
SECTION 6, to be applicable. If any notice under MASS. GEN. LAWS, CH. 139, SEC. 3B
is appropriate please direct it to the attention of the writer and include a reference to the
captioned insured, location, policy number, date of loss and claim or file number.
Adjuster
Title:
On this date, I caused copies of this waice to be sent to the persons named above
at the addresses.indicated above by first class trail.
PATRICK J. DONOVAN ASSOCIATES, INC. amu__ _ 9/1/93
P.O. BOX 110 Signature and date
WAKEFIELD, MA 01880
• Specimen Request Form for Rabies Test-Nig RA12-828 I
William A. Hinton State Laboratory institute Rec'd:
305 South Street f� -
Jamaica Plain, MA 02130 - 3597 D
PLEASE PRINT Tel. 617-983-6385 DO NOT ABBREVIATE
1. PROVIDERISENDER INFORMATION t 2. OWNER INFORMATION (or pe
rson who found anim
Name NWe: Lasl First a!)
In;tial
Address:0oNo./Street/Apt.,# Address: No./Street/Apt# .
� �.� ��- cif` l .i. �..r°.t'�'_t.:�r..��. l�E.�_..-------........ ... _.
City,Town ti Sfrate Zip code City/T own State Zip code
Phone number: �, L )4 C ` r,�} Phone number:
3. SPECIMEN INFORMATION O Pet O Stray Wild ❑ Unknown
_ } Cause of Q Natural
roc death: Euthanized
Species Breed Age Death bate Method
Location where Symptoms: Q Found dead Q Seizures Reason for rabies testing:
animal was located: �/ Q Aggression Q Lethargy ❑ Unexplained �' Human exposure
Street�1�('t lT.h�ll�• Q Ataxia Q Paralysis wound �Pet exposure
❑ Disorientation ❑ Salivation Q Other 3 Acting sick
Town A/b_/_!1131
,ctlPa�
Travel out of state: Bitten by another animal in past 12 Vaccination histo date
❑ Yes months: Rabies vaccinated
(Location Date—/—/—) ❑ Yes(type of animal ) CJ Not rabies vaccinated (not
Q No ❑ No current)
Unknown Unknown b,-Ojnknovm
4. EXPOSURE INFORMATION
Persons exposed: Exposure date JJ /6)& Ir,,)- Animal(s)exosed:R�CEIVd e date
I ——
N bl'C. Cez,L.?f o Physician name Name
A ..
Address: No./Street/Apt.# Species TOWN OF NORTH A 66VER
/I a �/ �rC' /� 7 _TGnlTSI nFPARTMENT
tyr i own State Zip Code Address: No./S reet/Apts#c(if'i 1 Brent from owner)
PhonePhysician phone City/Town State
Number: �G'),�;r1? �Number: ( ) Code Zip
Type of ❑ Bite I Body site Type of Q Bite I Body site
exposure: Q Scratch exposure: ❑ Scratch I
(check one) Q Lick (check one) ❑ Lick _.-___
Q Other Seventy
Q Other Severity
_ Unknown ❑ Unknown
Circumstance Capture ❑ Specimen Circumstance Q Fight
of exposure: ❑ Unprovoked attack preparation of exposure: Q Vicinity
(check one) ❑ Provoked attack Q Other I (check one) ❑ Dead animal contact
1)6 Handling ❑ Other--
5.
ther _5. FLUORESCENT RABIES ANTIBODY TEST RESULTS Reported by: r� [Lab use only]
❑Positive(rabid) Negative(not r?, id) Q Specimen Comments:
l 1 �l/. ,, � �d-e(unsatisfactory
Results read back lb : ._./Voice message Notified by: Date: I I jLab use only]
IMPORTANT:All animals must be euthanized prior to submission. Rabies testing is provided at no charge as a public
service;therefore,only animals that have potentially exposed a human or domestic animal to rabies should be submitted for
testing.For most specimens,the head must be removed from the body and the entire head should be submitted. Bats
should be submitted whole,without removing the head. For large animals or those undergoing other diagnostic procedures,
submission of the cerebellum and a complete cross-section of the brainstem is permissible. Failure to submit a complete
sample will usually result in an inconclusive test result. The submitter is responsible for contacting any individual
who needs to be made aware of the rabies test results. For rabies positive animals,anyone listed on the submission
form as being exposed will also be contacted by the Division of Epidemiology and Immunization.
SS-RA-2-09
n
r
M Massachusetts Department of Public Health
State Laboratory Institute
Rabies Laboratory, Sandra Smo►e, PhD. Laboratory Director
305 South Street, Jamaica Plain, MA 02130 (617)983-6385
Accession Number: RA12-0828
ATTN: N ANDOVER BOARD OF HEALTH Animal Species: BAT
1600 Osgood St Bld 20 Suite 2-36 Animal Located: NORTH ANDOVER
NORTH ANDOVER MA 01845 Animal Death Date: 5/29/2012 _
978-688-1255 AECE:VED
JJiv J 5 '1012
Testing Date: 5/30/2012
Report Date: 5/31/2012 TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
Rabies Testing Method: DFA ---
Rabies Testing Result: Negative
Exposure Information:
Human Exposure Anipecies:
Exposure
S
Name: Debra Covello Species:
Address: 114 Old Farm Rd Name: (NONE)
NORTH ANDOVER MA 01845 Address: (NONE)
Telephone: 978-807-5993 (NONE)
Note: If you are aware of any additional exposures or have any corrections to this report, please
contact 617-983-6385.
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