190 BRIDGE STREET UNIT 4201 RETURNED CERTIFIED MAIL CARD 10-13-2021 LISPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 4286 8190 5825 77
United States °Sender:Please print your name,address,and ZIP+4®in this box*
Postal Semice
RECEIVE City of Salem
Board of Health
OCT 13 2021 98 Washington Street, 3rd Floor
Salem, MA 01970-3523
CITY OF SALE
BOARD OF HEA H
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COMPLETE •N COMPI ETE THIS SECTIONON DELIVERY'
■ Complete items 1,2,and 3. A. Signature
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■ Print your name,and address on the reverse X 13 Addressee
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so that we can return the card to you. 0 Addre
U Attach this card to the back of the mailpiece, B. Reeceived by(Printed Name) C. Datq of slivery
or on the front if space permits._ Y24, 1 C`—� ��`k /� I v �2
1. Article Addressed to: D. Is delivery address different from item 1? es
ii If YES,enter delivery address below: E?KO
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IIII�I IIII 111 II I�I I I Ill�lll l I)IIIIII I III 3. Service Type ❑Priority reds Express(
❑Adult Signature p Registered Mai1T0A
Vdult Signature Restricted Delivery ❑Registered Mail Restricted
Certified Mail® Delivery
9590 9402 4286 8190 5825 77 ❑Certified Mall Restricted Delivery ❑Return Receipt for
❑Collect on Delivery Merchandise
2. Article Number(transfer from Service label) O Collect on Delivery Restricted Delivery 0 Signature Confirmation
- Mail ❑Signature Confirmation
7020 1290 0000 6088 7949
,01 Restricted Delivery Restricted Delivery
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ;