24 LEMON STREET CERTIFIED MAIL CARD (CONTRACTOR) 7-14-2025 COMPLETE • DELIVERY
■ Complete items 1,2,and 3. A. Si nature
■ Print your name and address on the reverse X 0 Agent
so that we can return the card to you. � �^ ❑Addressee
■ Attach this card to the back of the mailpiece, B. R eived by(Printed Name) C. Date of liv
or on the front if space permits. 3 C, S 2.�.��,
1. Article Addressed to: D. Is delivery address different from item 11113
ke If YES,enter delivery address below: ❑No
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II I IIIIII I�I Ali I If I I I II I I I II I�)I�'III II III Service Type ❑Priority Mail Express®
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❑Adult Signature ❑Registered MaiITM
❑Adult Signature Restricted Delivery ❑Relpistered Mail Restricted
Certified Mail® Delivery
9590 9402 8704 3310 7024 52 ❑Certified Mail Restricted Delivery ❑Signature ConfirmationT"
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service lahen ❑Collect on Delivery Restricted Delivery Restricted Delivery
Mail
9589 0 71a 0 5 2 7 0 3103 1126 60 ��ail Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
LISPS T_.RANG>rAAA
First-Class Mail
Postage&Fees Paid
USPS
10 L Permit No.G-10
�9�-31199 4 0"26,16 3310 7024 52
United Sta s •Sender:Please print your name,address,and ZIP+4®in this box*
Postal Se ice
RECEIVE:D CITY OF SALEM
BOARD OF HEALTH
1 98 WASHINGTON ST,3RD FL
JUL 14 ZO 5 SALEM,MA 01970
CITY OF SALE
BOARD OF HEAL