86 ESSEX STREET UNIT 104 RETURNED CERTIFIED MAIL CARD 9-18-2025 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. vl t ❑Addressee
■ Attach this card to the back of the mailpiece, B. Received by IFrinted Name) C. Date of Delivery
or on the front if space permits. fAar , ►��
y��
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
}` If YES,enter delivery address below: ❑No
S4�-Ieh1�ovS i nq A�Thori
27G6-4e,rS+re +
Sala,MA 0T q r7®
II 3. Service Type ElPriority Mail Express@)
�II'I�I�IIIII!'IIIII�IIII�I�II 11 111111111111111 ❑Adult Signature ❑Registered MailT"
❑Adult Signature Restricted Delivery ❑Registered Mail Restrictet
Certified Mail@ Delivery
959O4G2 9526 5G69 4773 16 Certified Mail Restricted Delivery El Signature Confirmation'
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
rl Insured Mail
9589 3 7 1 3 5270 3103 1174 81 O)il Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
6 L Permit No.G-10
9590 940291"10193 16
United Sta� lv •Sender:Please print your name,address,and ZIP+4®in this box*
Post's ED
EP 1 2 25 CITY OF SALEM
BOARD OF HEALTH
j 98 WASHINGTON ST,3RD FL
CITY OF SALI M SALEM,MA 01970
BOARD OF HE LTH
Irilf� ,tlf lf,ICI: „ „!' !liII II t'III!!]i►,IIIIIIfill