19 NICHOLS STREET UNIT 1 RETURNED CERTIFIED MAIL CARD 10-4-2021 usP
First Class N1ai1
4c'$6 6190 usPs9e&F
Unite $62 ees Paid
Pnatad States ' 7 Permit No,G10
er ice Sender.'Please Prmf
Your name,address
City of Sale 'and ZIP+4"I
m
rn- this 6oX•
L_CEI V D Oa 98 d of Health
OCT Sale Washington Street
4 20 ] m, M,q 0197p-352,3rd Floor
$pATY OF
RD OF HEAL '
r • • • • • .
■ Complete items 1,2,and 3. A. Sig 'care
t Print your name and address on the reverse K 0 Agent
so that we can return the card to you. —[� � Addressee
■ Attach this card to the back of the iece,mailp �1 �g B. Received by(Printed Nam Dame of D Ililvery
or on the front if space permits.
1.,Article Addressed to: D. Is delivery address different from item 1? Yes
{ c i If YES,enter delivery address below: ❑ No
Gt^IL L�Sley
3.
11 Illlll IIII 111[Illl 111111111111111111111111111 ❑ SuIt ignatuervice Tyre Restricted Delivery O Rdoist ed Marl Restricted
❑ Signature ❑Registered Mall-
Certified Mail® Delivery
9590 9402 4286 8190 5827 37 ❑Certified Mail Restricted Delivery ❑Return Receipt for
❑Collect on Delivery Merchandise
2. Article Number(transfer from service-lahafi ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation-
Vail ❑Signature Confirmation
7020 1290 0000 6088 7925 Vail
I Restricted Delivery Restricted Delivery
PS Form 3811,July 2015 PSN 7530-02-000-9053 V Domestic Return Receipt