21 GOODELL STREET UNIT 2 RETURNED CERTIFIED MAIL CARD 1-26-2023 USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
.jollwi Im Mt
9590 9402 7088 1251 4697 95
United States •Sender:Please print your name,address,and ZIP+4®in this box•
Postal Service
RECEIVED -
CITY OF SALEM
BOARD OF HEALTH
JAN 2 6 2 23 98 WASHINGTON ST,3—FL
- SALEM,MA 01970
CITY OF SALE M
BOARD OF HEA LIS
SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION DIV DELIVERY
■ Complete items 1,2,and 3. A. S' Datup
f Print your name and address on the reverse X ❑Agent
so that we can return the card to you. Addressee
■ Attach this card to the back of the maiipiece, B Ret eiGed by(Printed Name) C. Date of o&
or on the front if space permits. I�f/
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑No
Ry�, P. B UCkl�r
21 GooJJ S- w*U,;+3
M 1u
3. Service Type ❑Priority Mail Express®
❑Adult Signature ❑Registered Mail II I I I le Ir 11+ III 11J1{ ❑Adult Signature Restricted Delivery ❑Registered Mail Restricte(
,[Certified Mail® Delivery
9590 9402 708$ 1251 4697 95 ❑Certified Mail Restricted Delivery ❑Signature ConfirmatlonTM
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
❑Insured Mail
7020 1290 0000 6093 1901^ )0)I Restricted Delivery
PS Form 3811,July 2020 PSN 7630-02-000-9053 Domestic Return Receipt