11 JACKSON STREET RETURNED CERTIFIED MAIL CARD 8-10-2023 USPS TRACKING#
First-Class Mai{
Postage&Fees Paid
USPS
Permit No.G-10_J
02 7641 2122 07 77 02
United States •Sender:Please print your name,address,and ZIP+4®in this box•f
Postal Service
RECEIVE D CITY OF SALEM
BOARD OF HEALTH
98 WASHINGTON ST,3RD FL
AUG 1,0%2021 SALEM,MA 01970
CITY OF SAI-94
BOARD OF HEAL H
IN111ii It,lilt Ifill$]IIIf
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I• Complete items 1,2,and 3. A. Signature
■ Print your name and address on the reverse X O Agent
so that we can return the card to you. _ 0 Addressee
0 Attach this card to the back of the mailpiece; B. Received by(Printed Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. is delivery address different from item 1? ❑Yes
Sall' G�� If YES,enter delivery address below:, ❑No
thct.A.
11 JoAoii 5+,-eef
So-,,MA-01,370
II I'I�I�+��I I'IIIIII I l llfllllll l���I�I'II�'II 3. Service Type ❑Registered
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❑Adult Signature ❑Registered MajlTM
❑Adult Signature Restricted Delivery ❑Registered Mail Restrictec
9590 9402 7641 2122 0797 02 l Certified Mal:@ Delivery
�j Certified Mail Restricted Delivery ❑Signature ConftrmationTm
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer frnm n c-n=^+,)n Delivery Restricted Delivery Restricted Delivery
7020 0640 0001 4055 3195 oaaiil Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt