135 LAFAYETTE STREET UNIT 207 RETURNED CERTIFIED MAIL CARD 9-29-2021 USPS TRACKING#
First-Class Mail
Postage&Fees Paid
3 L USPS
Permit No.G-10
9590 9402 4286 8190 5827 44
United States °Sender:Please print your name,address,and ZIP+40 in this box*
Postal Service
C E I E DCity of Salem
Board of Health
98 Washington Street, 3rd Floor
SEP 2 9 2121 Salem, MA 01970-3523
CITY OF SAL EM
BOAR®OF HE ALTH
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R:COMPLETE THIS SECTION COMPL&E THIS SECTION ON DELIVERY
11 Complete items 1,2,and 3. A. Signature
to Print your name and address on the reverse X J ( ❑Agent
so that we can return the card to you. 1 ❑Addressee
■ Attach this card to the back of the mailptece, B. Received by(P' ed Name) C. Date of Delivery
or on the front if space permits._ :f '
1. Article Addressed to: D. elivery address different from item t? 'es
If YES,enter d;We'ry address below: ❑ No
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3. Service Type ❑Registered
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l7 Adult Signature l7 Registered MatITM
i Signature Restricted Delivery O Registered Mail Restricted
9590 9402 4286 8190 5827 44 0 Certified Mail® Delivery
❑Certified Mail Restricted Delivery ❑Return Receipt for
_ ❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) j❑Collect on Delivery Restricted Delivery n Signature Confirmation—
Mail El Signature Confirmation
0 2 0 1290 0040 6088 7 9 3 2 �)I Restricted Delivery Restricted Delivery
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt