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15 WARD STREET RETURNED CERTIFIED MAIL CARD 5-1-2024 USPSTRACM-91 First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 7402 7641 2122 0781 63 Unite States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service CITY OF SALEM RECE ED BOARD OF HEALTH 6"- r 98 WASHINGTON ST,3—FL SALEM,MA 01970 MAY 0 1 024 CITY OF SALEM BOARD OF HEALTH SENDER: COMPLETE THIS SECTION •MPLETE THIS SECTION ON 9 Complete Items 1,2,and 3. A. Signature rr Print your name and address on the reverse X gent so that we can return the card to you. Addressee vi Attach this card to the back of the mailpiece, B. Receiv by(Printed Name) C. Dale o Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item P 17 Yes ISV 1 C' tv_+y Lf � If YES,enter delivery address below No She,,MA clsq 0 II I II'III(III II I I II II I I II�I I II(I I I II II I I I II II' 3. Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered MaiITM+ ❑Adult Signature Restricted Delivery ❑R island Mail Restrictec 9590 9402 7641 2122 0781 63 9 Certified Mall® D�°e�' ❑Certified Mail Restricted Delivery ❑Signature Confirmattonym ❑Collect on Delivery ❑Signature Confirmation 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery n 1.,e.—A Mall 9589 0 710 5270 0283 0 512 46 v I Restricted Delivery PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt