P O RTN REC'T SENDER: COMPLETE THIS SECTION j COMPLETE THIS
ON DELIVERY
■ Complete items 1,2,and 3. A. Signature
■ 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. Received by(Printed Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: """ D. Is deliv
i b�(i�p j i ery address different from item 17 ❑Yes
If YES,enter delivery address below: ❑No
icy-/1-16
it I�III'I I'll I'I II I ll I II l ll I I I'I'III II VIII III 3. Service Type ❑Priority Mail Express®
❑Adult Signature ❑Registered lMaJITM
Expr
❑Adult Signature Restricted Delivery11 Certified Mail@ ❑Registered Mail Restricted
9590 9402 1868 6104 95!22 ❑Cert fled Mal Restricted Delivery ❑ReturnDeceipt.tor
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service/abet) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM
❑Insured Mail ❑Signature Confirmation
❑Insured Mail Restricted Delivery Restricted Delivery
over$500
PS Form 3811,July 2015 PSN 7530-02-000-9053
-- Domestic Return Receipt u
*• "r x #}L U.S.POSTAGE„PITNEY BOWES
h92t �'[. 60 020E E t,I.MA C
CITY OF SALEM, MASSACHUSETTS ry O
.� �- ZIP 01970 $ 006.67
q � BUILDING INSPECTOR .� 02 1VY
120 WASHINGTON STREET, 3RD FLOOR 0001392928MAY 31 2018
SALEM, MASSACHUSETTS 01970
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n„ UNABLE TO PORWARD
SC: 03,970352303 "2622-06798-31-43 11
930361.0742249355 UNC
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