168 BRIDGE STREET UNIT 1 LEAD DETERMINATION RECORD RETURNED CERTIFIED MAIL CARD 1-18-2022 Uses TRACKING#
First-Class Mail
Postage&Fees Paid
I-ILI I 11H I I
USPS
iAl Permit No.G-10
9590 9402 4286 8190 5�1� 5 81
United States •Sender:Please print your name,address,and ZIP+4®in this box*
Postal Service f
CITY OF SALEM
'CEO ✓ED t BOARD OFHEALTN
98 WASHINGTON ST,3RD FL
SALEM,MA 01970
JAIL 1 8 ! 022
CITY OF S
L -KA
BOARD OF HEALTH
SENDER., COMPLETE . ,MPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Sign a
* Print your name and address on the reverse X �ent
so that we can return the card to you. ❑Addressee
Attach this card to the back of the mailpiece, B./�eived by(Printed Nam C. Ite of elivery
or on the front if space permits. 1� CI—I I (247 0 zz
i. Article Addressed to: D. Is delivery address different from item 1? 11 Y s
If YES,enter delivery address below: 13-f4o
III�IIIII IIII I�IIIIII��1I I�IIIIIi f��I III I�III 1 3. Service Type D Priority Mail Express@ I Il I Jlll I Il ❑Adult Signature D Registered MailTm
ailr"'
D Adult Signature Restricted Delivery ❑Registered Mail Restricted
IN Certified Mail® Delivery
9590 9402 4286 8190 5415 81 ❑Certified Mail Restricted Delivery D Return Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) El Collect on Delivery Restricted Delivery ❑Signature ConfirmationT"❑
Mail Signature Confirmation
7 0 0 0 `12 9 0- a[}o a- 6 0Z 8 7.420, Mail Restricted Delivery Restricted Delivery
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PS Form 3811,July 2015 PSN 7530-02-000-0053 ppmestic Rg1;Urn Receilzt