255 JEFFERSON AVENUE UNIT 1F RETURNED CERTIFIED MAIL CARD 8-16-2023 USPS TRACKING#
First-Class Mail
4 Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 7641 2122 0798 56
United States •Sender.Please print your name,address,and ZIP+4®in this box"
Postal Service
i
RECEIVED
? CITY OF SALEM
BOARD OF HEALTH
AUG 16 202 3 98 WASHINGTON ST,3}D FL
�-" SALEM,MA 01970
CITY OF SALE
BOARD OF HEA
1 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Signature
■ Print your name and address on the reverse X A&Agent
so that we can return the card to you. ❑Addressee
■ Attach this card to the back of the maiipiece, B. Received by(Printed Name) . Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 13 Yes
2-s-5'Jeff Son Avmte,1 r C If YES,enter delivery address below: ❑No
32 Von RooS'en Road,
New+on r MA 0)-LTq
II I II�III III ICI I II(I I I III I I II I I I�I I'III I II'll 3. Service Type El Priority Mail Express®
f I ❑Adult Signature ❑Registered Mailr"'
❑Adult Signature Restricted Delivery ❑Registered Mail Restrictec
9590 9402 7641 2122 0798 56 Certified Mail® Delivery
❑Certified Mail Restricted Delivery ❑Signature Confirmationr"
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
❑Insured Mail
7020 0640 0001 4055 334$ Mail Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-00(Y-90r,T - - - Domestic Return Receipt