Loading...
48 HOWARD STREET EXTENSION UNIT 3 RETURNED CERTIFIED MAIL CARD 11-24-2021 LISPS TRACVJNG# First-Class Mail Postage&Fees Paid L USPS Permit No.G-10 590 9402 4286 8190 5416 59 United States `Sender:Please print your name,address,and ZIP+40 in.this box* Postal Service RECEIVED CITY OF SALEM I" } BOARD OF HEALTH 98 WASHINGTON ST,3RD FL NOV 2 4 20 1 - SALEM,MA 01970 CITY OF SAL MI BOARD OF HEAtth llf+d llf9.l ffFtllf f If1 f.}ffl f llfll •: • • • • • DE 4 LIVERY a Complete items 1,2,and 3. A. Signature Print your name and address on tl e'bverse X ❑Agent so that we can return the card to you. ❑Addressee Attach this card to the back of the mailpiece, B. R ce' (Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? El Yes If YES,enter delivery address below: ❑No S�Km©r�,�-LC, r F,0, gax - I 3. Service Type O Priority Mail Express® II I I�IIII IIII ICI I IIII I I I II��IIII I II I IIIII I III ❑Adult Signature ❑Registered Mail ❑ R ❑Adult Signature.Restricted Delivery Registered Mail Restricted 9590 9402 4286 8190 5416 59 0 Certified MaiIO Return ❑Certified Mail Restricted Delivery O Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer frnm n rWI—t on Delivery Restricted Delivery ❑Signature Confirmationrm Mail O Signature Confirmation 7 0 2 0 1290 0000 6090 ?8 9 0 Mail Restricted Delivery Restricted Delivery 3 00) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt