116 LAFAYETTE STREET RETURNED CERTIFIED MAIL CARD 6-13-2024 1
USPS
First-Class Mail
Postage&Fees Paid
USPS
L Permit No.G-10
9590 q 2 8704 3310 6993 .87
Unite States •Sender:Please print your name,address,and ZIP+4®in this box•
Posta ervice
RECEIV
CITY OF SALEM
BOARD OF HEALTH
JUN 1 3 202 r 98 WASHINGTON ST,3RD FL
- SALEM,MA 01970
CITY OF SALE
BOARD OF HEAL H
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COMPLETE • •FAIF'ETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.
A •Si re
■ Print your name and address on the reverse 0 Agent
so that we can return the card to you. X ❑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 17 ❑Yes
H. L.LJ+v T-VSt If YES,enter delivery address below: ❑No
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Soles,, Af11.970
3.I�III�III IIII liilllllll III I II IIII II II Ill fll III Service Type ❑ Mail Express®
13 ❑Regi
❑Adult Signature Registered MaIlTM
❑Adult Signature Restricted Delivery ❑Registered Mail Restrictee
9590 9402 8704 3310 6993 87 13 Certified Ma Certified il Restricted Delivery ❑Delivery
ConflrrnaflonTM
❑Collect on Delivery ❑Signature Confirmation
2. Article Number?ransfer from service labels ❑Collect on Delivery Restricted Delivery Restricted Delivery
al
9589 0 710 5270 0283 0 519 70 QWl Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt