10 HOWARD STREET UNIT 41 RETURNED CERTIFIED MAIL CARD 11-29-2021 LISPS TRACWNG#
First-Class Mail
Postage&Fees Paid
USPS
�V ' 11 r _ Permit No.G-10
9590 9402 4286 8190 5419 49
MOOMMOWAOM _
United States °Sender:Please print your name,address,and ZIP+4®in this box°
Postal Service
R EC E I E D :, CITY OF SALEM
BOARD OF HEALTH
98 WASHINGTON ST,3RD FL
NOV 2 9 2 21 - SALEM,MA 01970
C;I-,'-Y OF SA EM
BOARD OF H�
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Sl��DER: COMPLETE COMPLETE THIS SECTION ON DELIVERY
THIS SECTION
■ Complete items 1,2,and 3. A. Sig re
Print your name and address on the reverse x 0 Agent
❑Addressee
so that we can return the card to you.
® Attach this card to the back of the mailpiece, D. Received by(Prin ed e) C. Da a of liv
or on the front if space permits.
1. Article Addressed to: D. is delivery address different from item 1 Y
�A if YES,enter delivery address below: 0 No
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II I�IIIII I II III I IIII IE I I II I�IIII I II II II II I III1 3. Service Type ❑Priority Mail Mall TM
❑Adult Signature ❑Registered MaIITMT"^
❑Adult Signature Restricted Delivery ❑Registered Mail Restricted
Certified Mail@ Delive
9590 9402 4286 8190 5419 49 13 Certified Mail Restricted Delivery O Return Receipt for
❑Collect on Delivery Merchanflise
2. Article Number(n'ansfer from serWce/abed O Collect on Delivery Restricted Delivery ❑Signature ConfirmationT
n Mail O Signature Confirmation
Mail Restricted Delivery Restricted Delivery
7020 1290 0000 6090 7883 100)
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt