10 SUMMER STREET 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
so that we can return the card to you. ❑Addressee
■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) r
Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
A, y t If YES,enter delivery address below: ❑No
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I{ 3. Service Type ❑Priority Mail Express®
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❑Adult Signature Restricted Delivery ❑ RRegistered Mail estrictec
SI Certified Mail(D Delivery
9590 9402 9526 5069 4843 90 Certified Mail Restricted Delivery ❑Signature ConfirmationTM
❑Collect on Delivery ❑Signature Confirmation
9_ Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
❑Insured Mail
9589 0 710 52703103 1107 0 3 11)'I Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000 0053 Domestic Return Receipt
LISPS #
First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
9590 9402 9526 5069 4843 90
United States •Sender:Please print your name,address,and ZIP+4®in this box•
Postal Service
RECEIVED
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CITY OF SALEM
DEC 16 2 5 BOARD OF HEALTH
� ` 98 WASHINGTON ST,3RD FL
CITY OF SALE M SALEM,MA 01970
BOARD OF HEA LTH
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