21 GOODELL STREET UNIT 2 RETURNED CERTIFIED MAIL CARD 7-27-2022 USPS ING#
First-Class Mail
Postage&Fees Paid
USPS
y�L r=i�i 7 L Permit No.G-10
5 2 088 1 R M7 39
United Sta •Sender:Please print your name,address,and ZIP+4®in this box*
Postal S i
City of Salem
���C� ;1r � oard of Health
C 8 Washington Street, 3rd Floor
JUL 2 7 2 T2 Salem, MA 01970-3523
CITY OF SA
°O,?RD OF HFALTN
11.I5.i'ji fill i.1jl11il1liiiI:!iiil:iii I ilillt Ill )11j �I I}III t i
• SECTION • • e e
• Complete items 1,2,and 3. A. Signature
■ Print your name and address on the reverse X ❑Agent
so that we can return the card to you. 1 ❑Addressee
■ Attach this card to the back of the mailpiece, B. Received by(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? ❑Yes
R. QwIC e kl If YES,enter delivery address below: ❑No U
33 Bc rd"S4ree+Vt7;-t1
W6,-cxs-1v,MA O`+
3. Service Type ❑Priority Mail Express®
+I�1111111111111 III�I1111111111111111111111111
CI111II I1i�I I�I �I�I I�I I��IIhl ❑Adult Signature ❑Registered MailTM
11 ❑Adult Signature Restricted Delivery ❑Registered Mail Restrictec
Certified Mail® Delivery
9590 9402 7088 1251 4677 39 0 Certified Mail Restricted Delivery ❑Signature ConfirmationTM
_ ❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
❑Insured Mail
4 7 9 1414 Dail Restricted Delivery
7021 2720 0000 5
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt