13 JACKSON TERRACE RETURNED CERTIFIED MAIL CARD 12-27-2023 USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
UU23PM 8 L Permit No.G-10
9595, 402 7641 2122 0786 06
United States •Sender:Please print your name,address,and ZIP+4®in this box*
Posta(� a i V ED
DEC 2 7'2( 23
CITY OF SALEM
` BOARD OF HEALTH
CITY OF SAL M 98 WASHINGTON ST,3RD FL
BOARD OF HE LTH SALEM,MA 01970
COMPLETE •N COMPLETE THIS SECTIONON DELIVERY
t ■ Complete items 1,2,and 3. A. Signature .
■ Print your name and address on the reverse X 1,4 F ❑Agent
so that we can return the card to you. ��-^� �Na'- - ❑Addressee
■ Attach this card to the back of the mailpiece, B• eceived 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
n If YES,enter delivery address below: ❑No
�E,�(!j" 1✓t:V r nct��r�nG�o
2�91 grrownWoocL Mvt:
Mvl brrfflj FL 33260
II I IIIIII IIII III I1I f I(I IIt I(II I I I�I I(I I III I I��I 3. Service Type El Priority Mail Express®
11 11! ❑Adult Signature ❑Registered MaiITTM
❑Adult Signature Restricted Delivery ❑Registered Mail Restrictec
9590 9402 7641 2122 0786 06 63'Certified Mail® Delivery
Lj Certified Mall Restricted Delivery ❑Signature ConfinnationTm
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
a_ Mail
7020 0640 0001 4055 4 611 Mail Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 t rUrie c Retumpeeeipt