17 OSGOOD STREET RETURNED CERTIFIED MAIL CARD (OCCUPANT) 10-27-2025 SENDER: COMPLETE THIS SECTION j: CWPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. ? : mature 3
■ Print your name and address on the reverse . Agent
so that we can return the card to you. k ❑Addressee
■ Attach this card to the back of the mailpiece, B. Received-by fPrinted Name) C. Date of Delivery
or on the front if space permits. I 1 l , -
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
D11Y1lklAmi Lv rv�,l [3If YES,enter delivery address below: No
00 S+�
1.7Os� �-
S�f , 1A 01970
II I i�III I II I'I I II II I I I II i III III('II IIII III 3. Service Type ❑Priority Mail Express®
❑Adult Signature ❑Registered MaIIT^'
❑Adult Signature Restricted Delivery p Registered Mail Restrictea
XCertified Mail® Delivery
9590 9402 8704 3310 7017 76 ❑Certified Mail Restricted Delivery ❑Signature ConfirmationTm
❑Collect on Delivery ❑Signature Confirmation
2. Article Number fTrancfer frnm sarvino W-1 ❑Collect on Delivery Restricted Delivery Restricted Delivery
9589 0 710 5270 3103 1105 43 Nail Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
USP
#
First-Class Mail l
Postage&Fees Paid 1
USPS
10 L Permit No.G-10
9590 940? 7043310 7017 76
United States •Sender:Please print your name,address,and ZIP+V in this box*
PostPEOE I V I
O C T 2 7 20 5 '" CITY OF SALEM
BOARD OF HEALTH
CITY OF SAL .�" / 98 WASHINGTON ST,3-FL
BOARD OF HEA TH SALEM,MA 01970
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