4 FIRST STREET UNIT 9101 RETURNED CERTIFIED MAIL CARD 12-16-2025 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
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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. CL t C lv V219 0 Z
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
t If YES,enter delivery address below: p No
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3. Service Type ❑Priority Mail Expresso
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Certified Mail@ Delivery
9590 94g2 9526 5069 4843 83 ❑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
n I-..e.1 Mail
9589 0 710 5270 3103 1106 97 Mail Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
First-Class Mail
Postage&Fees Paid
USPS
L Permit No.G-10
9590 9y.6i�9526 5069 4843 83
United Mates •Sender:Please print your name,address,and ZIP+4®in this box*
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RECEI D
CITY OF SALEM
DEC 16 2 25 F. BOARD OF HEALTH
98 WASHINGTON ST,3RD FL
CITY OF SAL M SALEM,MA 01970
BOARD OF HE TH