3 WATSON STREET UNIT 3 RETURNED CERTIFIED MAIL CARD 9-24-2021 LISPS TRACIQNG#
First-Class Mail
Postage&Fees Paid
USPS
Permit W!
9590 9402 4286 8190 5827 13
United States °Sender:Please print your name,address,and ZIP+40 in this box*
Postal Service
C CITY OF SALEM
CIVE BOARD OF HEALTH
98 WASHINGTON ST,3RD FL
SEP 2 4 2 21 SALEM,MA 01970
CITY OF SA EM
BOARD OF H
I
COMPLETE •N COMPLE,TE THIS,SECTIONON DELIVERV
• Complete items 1,2,and 3. A Sig u
■ Print your name and address on the reverse It so that we can return the card to you. X� dd ee
® Attach this card to the back of the mailpiece, B. e i a by(Printed Name) C. Date of Deily
or on the front if space permits.
1. Article[,Addressed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑No
S v✓ cc ft, /WA 6.1907
II I�I�iI Illf III IIIII II I II IIIII III I I II II II III 3. Service Type ❑
I I I I I I Priority Man s®
❑moult Signature p Registered Mallym
❑adult Signature Restricted Delivery ❑Ragistered Mail Restricted
9590 9402 4286 8190 5827 13 ❑Certified nail Restricted Delivery ❑Return Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT"
❑Insured Mail ❑Signature Confirmation
7020 1290 0000 6093 1871 1Q)il Restricted Delivery Restricted Delivery
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt