12 POPE STREET UNIT B410 RETURNED CERTIFIED MAIL CARD 10-13-2021 LL��$P TRA I t
First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 4286 8190 5825 91
United States •Sender:Please print your name,address,and ZIP+4®in this box°
P�starj �
tt.�� City of Salem
OCT Zj Board of Health
98 Washington Street, 3rd Floor
OITY OF SA EM Salem, MA 01970-3523
BOARD OF H ALTH
8EN6tR' :'ComPLkTt n4is SECTION. • • ON•
• Complete items 1,2,and 3. A. Signature
• Print your name and address on the reverse XAq
❑Agent
so that we can return the card to you. IDAddressee
• Attach this card to the back of the mailpiece, B. Rery
fi' me ama) C. lity Ivory
or on the front if space permits._
1. Article Addressed to: D.Isdedtfive"iryaddress different from item 1? ❑Yes
If YES,enter delivery address below: ❑ No
A+ n;Man jem"+Off
12 Fepc,S+ree-t
OAdult 9 turee Restricted Delivery ❑Registered Mail Rice Type 0 Priority Mail essWated
J 9590 9402 4286 8190 5825 91 0 Certified Mailo Delivery
❑Certified Mail Restricted Delivery ❑Return Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0Signature ConfirmationTm
Mail ❑Signature Confirmation
7 0 2 0 1290 0000 6088 7956 ail Restricted Delivery Restricted Delivery —
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt