16 ORD STREET UNIT RIGHT RETURNED CERTIFIED MAIL CARD 9-8-2021 USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 4286 8190 5827 06
United States Sender:Please print your name,address,and ZIP+41 in this box•
Postal Service
E C E IJED
�. CITY OF SALEM
BOARD OF HEALTH
SEP U 8 2121 98 SALEM,MAGOO70 T,3RD FL
CITY OF SA
BOARD OF HEALTH
lilt►I11I111iI�#!I!!lIII!l.I�I�!!!lllillli!!!t!1lI11,#l�il}I�l:!!!
• •a: COMPLETE THIS SECTIONON DELIVERY
■ Complete items 1,2,and 3. A. Signature
■ Print your name and address ort.khe reverse ❑Agent
so that we can return4 rd f i you. ❑Addressee
* Attach this card to the barJc i�the mailpleee, B• Received by(Printed Name) C. Date of Delivery
or on the front if spaperrryps.
1. Article Addressed to: ` D. Is delivery address different from item 1? ❑Yes
Htr
If YES,enter delivery address below: ❑ No
P ci' Ma-0-119G a
3. Service Type ❑Priority Man 6(press®
II I1III�I I II��� IIII II I l Il IfIII III I I I I I II III 0 C It Signature El Registered lvlall�
ult Si Ma Signature Restricted Delivery ❑RII0Degistiverered Mall Restricted
9590 9402 4286 8190 5827 06 ❑Certified Man Restricted Delivery ❑Return Recelpt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 signature Confirmation,
M insured Mail O Signature Confirmation
Mail Restricted Delivery Restricted Delivery
7020 1290 0000 6088 7888 00) —
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt