12 PALMER STREET UNIT 4 RETURNED CERTIFIED MAIL CARD 4-7-2025 SENDER:COMPLETE TIIIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Signature
■ Print your name and address on the reverse X �" O Agent
so that we can return the card to you. ❑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
' If YES,enter delivery address below: p No
51 4owA S4(ci
'Vo4k ►, MA0) 4E5 .
II I IIII�I I II I�I I(�II I I I II I I I I�I I I I I I II I III III 3. Service Type 13 Priority Mail Express®
❑Adult Signature ❑Registered Mail*M
in
Signature Restricted Delivery O Registered Mail Restricted
Certified Mali® Delivery
9590 9402 8704 3310 7005 71 ❑Certified Mail Restricted Delivery ❑signature ConfirmationTM
❑Collect on Delivery O Signature Confirmation
2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
' qd Mail
9589 0 710 5 2 7 D 0263 0547 59 00ail Restricted Delivery
Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
USpSTRACKING#. First-Class Mail
Postage&Fees Paid
USPS
ZA
Permit No.G-10
9590 02 8704 3310 7005 71
Unite States •Sender:Please print your name,address,and ZIP+4°in this box•
Postal Service
RECEIV D CITY OF SALEM
BOARD OF HEALTH
APR 4 7 2 25 '" 98 WASHI . ST,3�FL
SALEM,MA 01970
CITY OF SAL M
BOARD OF HE LTH
��1��1��.,111i�r�ll1�+1�,1�h11I���1.I�j1��i�1��a1.I1a1r�1�llra�jl'I