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11 PRINCE STREET PLACE RETURNED CERTIFIED MAIL CARD 9-8-2021 USPS TRACKING# First-Class Mail Postage&Fees Paid USPS L Pe m t No.G-1 g 9590 9402 4286 8190 5840 83 United States •Sender:Please print your name,address!and ZIP+4®in this box° Postal Service CITY OF SALEM i BOARD OF HEALTH SEP 0 98 WASHINGTON ST,3RD FL SALEM,MA 01970 OARD OF H ElliT Alr�:.,, CbM PLk TiE iHIS S I ECTIO i N ComPLETE • • DELIVERY a Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X /J ©A so that we can return the card to you. C]Addddrrtressee * Attach this card to the back of the mailpiece, B. ecejJeii by(Printed Na:m C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item IT Ye Yes NoA,�h�r� If YES,enter delivery address below: ❑No t,I�� SLIM;MR t-9`0 II I�Illll I�lI I�1 I IIII II I I II I�III II II I�I I II I III 3. Service Type ❑Registered Mau Expresso 0 Adult Signature O Registered MeiITM' ❑p&uit Signature Restricted Delivery ❑Registered Mail ResMcted Certified Mail® Delivery 9590 9402 4286 8190 5840 83 ❑Certified Mail Restricted Delivery O Return Receipt for O Collect on Delivery Merchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation- ❑Insured Mail ❑Signature Confirmation Ma il it Restricted Delivery Restricted Delivery 7020 1290 0000 6088 7901 PS Form 3811,July 2015 PSN 7530-I12-000-9053 Domestic Return Receipt 1