286 WASHINGTON STREET UNIT 17 RETURNED CERTIFIED MAIL CARD 11-14-2023 USPS G#
First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
95990p0 q \�41 2122 0785 14
unit � y ender:Please print your name,address,and ZIP+4®in this box*
Postal Servi
NOVI 4 20 3
CITY OF SALEM
CITY OF SALE y BOARD OF HEALTH
BOARD OF HEAl TH aMs'" 98 WASHINGTON ST,3R'FL
SALEM,MA 01970
III' Illt"dill"WhlIIIIII-III-I)),illihIilld ffl P'llI
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 ❑Agent
so that we can return the card to you. ❑Addressee
■ 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
If YES,enter delivery address below: ❑No
ti11 L4. e, el
3.
II I IIIIII IfII I�IIIIII�I IIIIIIIII II II�III I I III 13 Service Type ❑Registered
Mxpress®
❑Adult Signature ❑Registered MaiITM
❑Adult Signature Restricted Delivery ❑Registered Mail Restrictec
9590 9402 7641 2122 0785 14 ❑Certified Malle Delivery
Certified Mail Restricted Delivery ❑signature Confinnation'm
❑Collect on Delivery O Signature Confirmation
2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
___ n�..�...n.�Mail
70211 0 6 4 0- 0 O 01 4055 3584 u ail Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt