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8 West Avenue Return Mail Slip 12-9-2019 USPS TRACKING# First-Class Mail Postage&.Fees Paid USPS Permit No.G-10 9590 9402 4286 8190 5596 61 United States Sender.Please print your name,address,and ZIP+4®in this box* P* R E V EW E D CITY OF SALEM BOARD OF HEALTH a« j 98 WASHINGTON ST,3R11 FL DEC 0 91019 SALEM,MA 01970 CITY OF S4 LEM BOARD OF HrALTH N DER: COMPLETE THIS SECTION COMPLFT-C THIS SECTION-)N DELIVF;�Y Complete items 1,2,and 3. Signatu Print your name and address on the reverse - 3 Agentso that we can return the card to you. K d Address Attach this card to the back of the mailplece, B. elVe W(Pd: e) C. Date of D�eliive or on the front if space permits. � ` l y'a 1. Article Addressed to: D. Is delivery address different from Poem 17 ©Yes If YES,enter delivery address below: ❑No C�JeS� Aw" 0970 IIIIIIIII IIII IIIiIIII IIIIIIIIIII III III II I II III 3. Service Type ❑prlortty Mal&press@ ❑Adult Signature ❑Registmed Mall*"" ❑9Gult Signature Restricted Del" ❑DVistared Mall Reshic 9590 9402 4286 8190 5596 61 ❑CeMeedd Mali Restricted Delivery ❑Retrh, pt for J❑Collect on Delivery Merchandise 2. Arrir-iw Number ITransfer from service!abet) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation ❑Signature Confmmation 7 018 31190 0001 5 818 2421 tricted Del" Restricted Delivery ps Form 3811,July 2015 PSN 7530-02-00D-9053 Domestic Return Receig