5 BURNSIDE STREET UNIT 2 RETURNED CERTIFIED MAIL CARD 5-13-2026 1 L SENDER- COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
* Complete items 1,2,and 3. A. Sign
Print your name and address on the reverse X 0Agent
so that we can return the card to you. ❑Addressee
Attach this card to the back of the mailpiece, B. Re (Pr' C. Date of Delivery
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or on the front if space permits. Y M,q
1. Article Addressed to: D. Is deliv dress dl erent frarp it�{ ? ❑Yes
If YE ,enter delivery address belov0 ❑No
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3. Service Type ❑Priority Mail Express®
II I'lllll IIII III I IIII I I�IIII(IIII II IIII I I I III ❑Adult Signature fl Registered Mail
❑Adult Signature Restricted Delivery ❑ Restricted
Mail Restricted
Certified Maio Delivery
9590 9402 9526 5069 4828 60 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
_ 8 9 0 710 5270 3103 1137 42 oil Restricted Delivery
r- =orm 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
- Perms No.G-10
9590 9402 9526 5069 4828 60
United States •Sender:Please print your name,address,and ZIP+4®in this box"
Postal Service
RECEIi/`j
CITY OF SALEM
BOARD OF HEALTH
MAY 13 20 6 98 WASHINGTON ST,3-FL
SALEM,MA 01970
CITY OF SALE
BOARD OF HEA Tls
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