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Dbb N 2010-2023
________________________________________________
BEDBUG INFESTATION HISTORY
(Only boxes checked apply)
[ ] There is no history of any bedbug infestation within the past year in the building or in any
apartment.
[ ] During the past year the building had a bedbug infestation history that has been the subject of
eradication measures. The location of the infestation was on the _______________ floor(s).
[ ] During the past year the building had a bedbug infestation history on the _____________...
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