HomeMy WebLinkAboutVan Otis Weights and Measures Invoice - Inspection - 27 MAIN STREET 11/13/2024 y i
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North Andover Health Department
Community and Economic Dev to m n Division ;
Town of lorL Andover [ T :
11.1 . 02
Health Department Invoice # 11202 -001
120 Main Street Weights and Measures
North Andover, MA 01845 +•*::.•��.#fir
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TO: Van Otis T#'fffe .,.•,.'.'.•+*.4. *�}
27 Main Street
North h Andover, MA 01845
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DESCRIPTION I s " [ i s RAv t+". MOUNT
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TOTAL $36.00
Thank you for your business!
Town of North Andover 120 Main Street north Andover, MA 01845 (978) 88-954 ww.northandover a.gov/health
Department of Weights and Measures
(CITY OR TOWN)
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(1A i IV
Address
Type of Business
SEALING AND ADJUSTMENT RECORD
Fees and adjusting charges authorized by Section 5 6.G.L.,Chapter 98 as amended, No.
Legal
Not Con-
DE VICE Staling Adjusted Sealed Charges
Fe Sealed donned
p,
Over 10,000 lbs.
5X0 to 10,000 lbs.
1,000 to 5,000 lbs.
100 to 1,000 lbs,
Mm am to UM
Lai Lhm 3 00 N. 11-3 TV 21,(C�k
10 lbs.or less
Avoirdupois (Each)
Motdo 3P
ApDthmwy 1P
Trey
................................
VeHole Tanks
Each Indicator
Each IGO Gal Ions or
Fnctian ne-reor
Liquld
I Gallon or Tess
Moro than t Callon
Ott'A"or less
01),Grease
mat more than 4"to 1
Wet morp,thm I"
Veb lot*Tank Pump
chicle Tank Gravity
Bdk Storage
Company Supplies Prover
FAch stop on pump
sc=ers
Taxi Meters
0-dometer—Hubodometer
Fabric Minuring
0
Wire-Rope,-Cordago
..........
Yard SUcks
Tapcs
Milk Jars(Per(moss)
Dry Measures
Bottle Rctm-ns
Adjusfing—Repairs—Special FacHid es CHARGES
This is to certify that I have thus day tested,adjusted,scaled or TOTAL
condemned the above described device in compliance with the DILL 'T
61,Chapter 98 as most recently amended.
DATE Deputy Insp"lor-Scal er of Weights and Measures
Delved Payment --------
*Cross out tiflo whkh does not gpply In speclor-SMc r of Wd ghts and Meuwes
THIS FORM APPROVED BY THE DIRECTOR OF STANDARDS