26 BOSTON STREET UNIT 5 RETURNED CERTIFIED MAIL CARD 6-4-2025 COMPLETE THIS SECTION ON DELIVERY
SENDER: COMPLETE THIS SECTION
tx 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. ❑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
Twen-}y S i x gas+on S+,LLG If YES,enter delivery address below: ❑No
2- R«.,.
MA oi.96o
II I IIIIII Iill III I II I I I I II I I II I I I II IIIIII III Service Type ❑Priority Mail Express®
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❑Adult Signature ❑Registered MaiITM
❑Adult Signature Restricted Delivery ❑Registered Mail RestriciPF
9590 9402 8704 3310 7014 62 J�Certfied Mail® Delivery
—f Certified Mail Restricted Delivery ❑Signature ConfirmationT^"
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
Mail
9589 0 710 5 2 7 D 3103 112_5 .54 nail Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
PTRACIING# First-Class(Mail
Postage&Fees Paid
USPS
j2 L Permit No.G-10
9590 9, 2 8704 3310 7014 62
United-'States •Sender:Please print your name,address,and ZIP+4®in this box*
Postal Servi e
RECEW-D
CITY OF SALEM
J U N 04 2 125 BOARD OF HEALTH
@ 98 WASHINGTON ST,3RD FL
CITY OF SAL 1 M SALEM,MA 01970
BOARD OF HE LTH
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