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320 LAFAYETTE STREET UNIT 206 RETURNED CERTIFIED MAIL CARD 12-1-2025 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY Complete items 1,2,and 3. A. Si nature ,,,,_� Print your name and address on the reverse X B Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Receiv by(Printed Name) C. ghte o Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? 1J Yes A l If YES,enter deliveryaddress below: G- o p��'-Fn, Na�rry t�Iwtcic�. ©Q 1nf�s�in Sty lit,M 6n IL/ 3. Service Type ❑Priority Mail Express@) II I IIIIII IIII III I IIII I I II III)I IIII III I II II I III ❑Adult Signature ❑Registered Mail I ❑Adult Signature Restricted Delivery ❑Registered Mail Restrictet ArCertified WHO Delivery 9590 9402 9526 5069 4844 20 ❑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 Mail 9 5 8 9 0 710 5 2 70 3103 1106 59 --Moail Restricted Delivery PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACKING# First-Class Mail Postage&Fees Paid USPS r'-L Permit No.G-10 95T` 9402 9526 4844 20 United- Cates - •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service RECEIVED CITY OF SALEM DEC 2325 p- BOARD OF HEALTH 98 WASHINGTON ST,31iD FL CITY OF SAL M SALEM,MA 01970 ROARD OF H-E. JT 4 - 'ws =„� r�rril l fr#�rrlrlflll rlr1111illi'11111'� f :d rJI�F 1 rill