31-33 Salem Street - Street File (7) SENDER: 'Z `447 277 950
■ Complete Items 1,.2,and 3.Also complete A. Received by(Please Print Clearly) I 13 ate ry
item 4 if Restricted Delivery is desired. ! US Postal Service
■ Print your name and address on the reverse I C. Signature
gna Receipt for Certified Mail
.
so that we can return the card to you. No Insurance Coverage Provided:❑Agent
■ Attach this card to the back of the mallpiece, XDo not use for International Mail(See reverse.+
or on the front if space permits. - )-elr[3 Addressee Senxty
D. Is�l' m ❑Yes WIZ //?7
1. Article Addressed to: YE9'enter ei ass below: ❑No St et&Number
�/� -..r.
Tim Klotz Po IOffice,State, ZIg Code
9 Wardwell Place G ���0� N- /M 019 D A-
Lynn, MA 01902 r Q r Postage $
3. Servfce + Certified Fee
XEI Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise Special Delivery Fee
❑ Insured Mail ❑ C.O.D.
(Extra Fee Restricted Delivery Fee
4. Restricted Delivery?(31-33 Salem Street) JV ry• (� ) ❑Yes �
� Return Receipt Showing to
2. Article Number(Copy from service label) r Whom&Date Delivered
2 4 4 7 2 7 7 959 a Return Receipt Showing to whom,
E i f ` Q Date,&Addressee's Address
PS Form 381 1,U*l i 999 r Domestic Return Receipt 102595.00-M-0952 p
0 TOTAL Postage&Fees is
CO00
Postmark or Date
E
6
u-.`
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
DEC 1 2000 BOARD OF HEALTH
CITY OF SALEM Salem„ MA 01970 -34 ag !
HEALTH DEPT.