HomeMy WebLinkAboutPerfectos W&M Inspection Invoice - Inspection - 1115 OSGOOD STREET 11/13/2024 4
1
■
y
I
{
North Andover Health Department
Community and Economic v to men Division
FROM: [ TE#
Tot n f forth Andover 11.13.2024
Health Department Invoice # 11 0 -001
120 Main Street Weights and Measures
North Andover, NSA 015 r.
i}•a r{/y
1
T ♦#
Perfecta's Cafe ,,5, #•.y.
A'Si
1115 Osgood Street
f'F*
North Andover, MA 01845 � .•;a.`a�i+
X -
t i+Yi
Fyt ��d FF a Y
f
+i
'A R{s A"r
dA
5A
} #t.
Y`A A .AFA ;t
I E I IPTI :v±'� �`� -. In d .ns RA AMOUNT
Balances Scales—More than 10lbs Less than 100 Ibs �� •+ 1 ::�` � -: ; Y 1 .0
�`
.i
*y
4r ai
d• .� F+ai#
+` •yy
f y t .iFr. tiR•
nr rA#A
�+f
d1�♦ i+f`
r
Y'a ,t} 1i*ta
yts ,Yi t`t ",r
x-
e r, a'i 511 "t
Any' Y�s�s
o-` ,#
a{i n s4
•�•y tY� xY sr aai'" tyit'."�
1 FF a4
L 3
t�4`i its yish
x *; P
.*+ i4
i rk I�I
ii 1
.ry tryirya 'il•
t* I
{s y5 -ry.i• .�.
'i*yam X' '�i�yai ••+•ar
s`
44
44ii ��♦ a'Ya#
i* Fr y l•�ti
AAds #
+y
raf A A A
.ii
+
rf#•' i
�4s
+fi
i +tw�F�fii
TOTAL $15.00
Thank you for your business!
Town of North Andover 120 Main Street North Andover, MA 0184578) 688-9S40 www.northandoverma.gov/health
a{
Department of Weights and Measures
(CITY OR TOWM
Name
Address
2
Type of Business— , J.
SEALING AND ADJUSTMENT RECORD
Fees and adjusting charges authod=d by Section 56.G.L.,Chapter 98 asamended. NO.
Legal
DIE Not Con-
VICE Sealing Adjusted Sealed Charges
See m
led dened
Fee
Over 10,000 lbs.
5,000 to 10,000 lbs,
1,000 to 5,000 lbs.
100 to 1,000 lbs.
10 lbs.or kss
Avoirdupois Q3v-h)
Metric
Apothtcary
Troy PF
Vehicle Tanks
Each Inffleator
Nch 100 Wow or
. .............
Fraction Uercof
k
Liquid
I Gallon or less
more than I Gallon
Inlet W,or less
Oil,Grease
Inlet more than'A P P to 1"
Gasoline
h2l et more than I"
Vehicle Tank Furnp
VWc1c Tank Gravity
Bdk Storage
Company SuppRes Prover
Each stop on pump
soulnem
f
Taxi Meters
Odometer—Hubadorneter
EFabric Menuring
Wire-Rope-Cordase
Yard Sticks
Tapes
Wk Jan(Per Gross)
-----------
Adjusdng—Rtp aim—Special FacjU qes CHARGPS
`Ills is to certify that I have this day tested,adjusted,scaled or TOTAL
condemned the above desr1nibcd device in ciomphance with the A7..:n
0.L.Chapter 9 8 as most recently amended,
J1
(4
DATE *Deputy Inspector-Scaler of We]gbts and Mt&mms
J..
Received Payment c v
*Gross out He which does not sppl� *D epu ty Inspector-Scaler of Welgbts an d Measure
THIS FORM APPROVED BY THE DIRECTOR OF STANDARDS