13 BROOKS STREET RETURNED CERTIFIED MAIL CARD 3-4-2025 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. 13 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
D,.,"e.,'J0-yV,e1s, s,/T:y+Kic ,-0"d If YES,enter delivery address below: ❑No
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���ttt 3. Service Type ❑Priority Mail Express®
II"I,1'I'I IIII III I II II I I III 111111111111111111111
I I I II I I I I I I II II I III ❑Adult Signature ❑Registered Mail R
❑Adult Signature Restricted Delivery ❑Registered Mail estrictet
gCertified Mail® Delivery
9590 9402 8704 3310 7005 26 ❑Certified Mail Restricted Delivery ❑Signature Confirmation*M
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
❑Insured Mail
9589 0 710 5270 0 2 8 3 0 5 3 9 81 oil Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 — Domestic Return Receipt
U S A CKIMG# s
First-Class Mail
Postage&Fees Paid
USPS
' Permit No.G-10
9590 9402 8704 T' 16
United States °Sender: Please print your name,address,and ZIP+45 in this box•
PostaPfCE I V D
CITY OF SALEM
MAR 0 4 2 25 0 BOARD OF HEALTH
98 WASHINGTON ST,3—FL
SALEM,MA 01970
CITY OF SALE M
BOARD OF NE LTH
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