99 WASHINGTON STREET UNIT 21 RETURNED CERTIFIED MAIL CARD 5-16-2022 USPS TRACFQNG#
First-Class Mail
Postage&Fees Paid
USPS
L Permit No.G-10
9590 9402 4286 8190 5415 67
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United States •Sender Please print your name,address,and ZIP+4®in this box"
Postal Service
CITY OF SALEM
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BOARD OF HEALTH
RLCEi,o� C® 98 WASHINGTON ST,3RD FL
SALEM,MA 01970
MAY 16 2[ 22
CITY OF SALEM
BOARD OF HEALTH
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COMPLETE • ON e
a Complete items 1,2,and 3. A. Signature L'Q1Y r
m Pint your name and address on the reverse �
so that we can return the card to you. O Addressee
■ Attach this card to the back of the mailpiece, B. ReceNided (Pri d Na ) C. Date of Delivery
or on the front if space permits.
t. Article Addressed to: D. s delivery address different from item 1? Dyes
If YES,enter delivery address below: ❑No
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9590 9402 4286 8190 5415 67 Certified WHO Delivery
Certified Mail Restricted Delivery 13 Return Receipt for
_ ❑Collect on Delivery Merchandise
2. Article Number(transfer from service label ❑Collect on Delivery Restricted Delivery Q Signature ConfirmationTM
__..__ Mali ❑Signature Confirmation
7 0 21 2 7 20 0000 5479 1094 Mail Restricted Delivery Restricted Delivery
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PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt