4 FIRST STREET UNIT 9101 RETURNED CERTIFIED MAIL CARD 3-30-2026 COMPLETE •N COMPLETE THIS SECTIONON 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) . Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
A+J, s If YES,enter delivery address below: ❑.No
NcAAhcrrte,C�ommcov,,s
ZOS lo,,k Ave4„e,
Sim)MA 41q�Q
3. Service Type ❑Priority Mail Express®
II I II�III IIII III I IIII I I��IIII I IIIII II II I II III ❑Adult Signature ❑Registered Mail!! El Adult Signature Restricted Delivery ❑ RRegistered Mail estrictet
j(Certified Mail® Delivery
9590 9402 9526 5069 4831 02 ❑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
❑Insured Mail
9589 0 710 5270 3103 1122 95 O)it Restricted Delivery
PS Form 3811,July 2020 PSN 1b3U-UZ-UUU-9UbJ Domestic Return Receipt
USPS TRACKING#
First-Class Mail
Postage&Fees Paid
111111 USPS
Permit No.G-10
9590 9402 9526 5069 4831 02
i
United States •Sender:Please print your name,address,and ZIP+48 in this box*
Postal Service
RECEIVED CITY OF SALEM
A BOARD OF HEALTH
98 WASHINGTON ST,311D FL
MAR 3 0 026 ''^" SALEM,MA 01970
CITY OF SiA LEM
SOARDOF4ALIH