4 FIRST STREET UNIT 9101 RETURNED CERTIFIED MAIL CARD 1-15-2025 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
rF Complete items 1,2,and 3. In S
r-- Print your name and address on the reverse X ❑Agent
so that we can return the card to you. -2�� A ressee
■ Attach this card to the back of the mailpiece, BI Received by(Printed Name) C. D to o Delivery
or on the front if space permits. q Wf—cos 1 1 6 P
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑No
na�vi'�rh �pmt+t615S
205 H i 0--LAY"VC,
sa1�1MA 01976
II IIIIII IIII III I II II I I I II I I I I II I I I II II I�I i III 3. Service Type O Priority Mall Express®
I ❑Adult Signature O Registered MailT"'
E Adult Signature Restricted Delivery D Registered Mail Restriotec
9590 9402 8704 3310 7002 67 Certified Mail® Delivery
❑Certified Mail Restricted Delivery O Signature ConfirmationTM
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
^' 'Mail
9589 D 710 5 2 7 D 0283 D 5 3 7 14 ,pail Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
9590 940 ` 704 3310 7002 67
United4 tates •Sender:Please print your name,address,and ZIP+4®in this box-
Post Wt I V D
CITY OF SALEM
JAN 15 2015 BOARD OF HEALTH
,„ 98 WASHINGTON ST,3RD FL
CITY OF SALE�1 - SALEM,MA 01970
BOARD OF HEA TH