293 LAFAYETTE STREET UNIT 2 RETURNED CERTIFIED MAIL CARD 8-12-2025 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Sig natur
■ 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(Pri ted e) C. Date of Deyvery
or on the front if space permits. 96`41P 1 &&�-
1. Article Addressed to: D. Is delivery address different from item W ❑Ybs
t Mj k� �I to If YES,enter delivery address below: ❑No I g9
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3. Service Type ❑Priority Mail Express®
II I IIIIII III I�I I I{II�I II��I�I �II II ����I �' ❑Adult Signature ❑Registered MailTM
1 El Adult Signature Restricted Delivery ❑Registered Mail Restrictet
Certified Mailo Delivery
959U 9402 9526 8C)E�9 4773 92 ❑Certified Mail Restricted Delivery ❑Signature ConfirmationTM
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
9589 0 710 5270 3103 1174 05 Mail Restricted Delivery
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PS Form 3811,July 2020 PSN7,53Q-02-0¢0-9053 „ Domestic Return Receipt
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uSP alM#M4111192
First-Class Mail
Postage&Fees Paid
USPS
'> Permit No.G-10
95 00 94 9526
United S tes •Sender:Please print your name,address,and ZIP+V in this box*
Postal rvice
R E V E I V ® CITY OF SALEM
BOARD OF HEALTH
aN t 98 WASHINGTON ST,3'D FL
AUG 12 20 5 SALEM,MA 01970
CITY OF SALqvi
BOARD OF HEA i
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