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158 BOSTON STREET UNIT 1 RETURNED CERTIFIED MAIL CARD 7-27-2022 USPS TRACKING# -- First-Class Mail Postage&Fees Paid USPS Permit No.G-10 ]NMI 0 R 9590 9402 7088 1251 4676 85 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service City of Salem oard of Health RECEIVE 8 Washington Street, 3rd Floor JUL 2 7 22 Salem, MA 01970-3523 CITY OF 5N �ivi BOARD OF H ALTF COMPLETE •N COMPLETE THIS SECTIONON I ■ Complete items 1,2,and 3. A. S' at ut Print your name and address on the reverse X ❑Agent El so that we can return the card to you. a Attach this card to the back of the mailpiece, B• ecelved by t9 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 Pn � ��� � If YES,enter delivery address below: ❑No (,j((/ y PvS' P,0, goy 9 , 70 3. Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered Mailr" 1 ❑Adult Signature Restricted Delivery ❑Registered Mail Restrictec Certified Mail® Delivery 9590 9402 7088 1251 4676 85 El Certified Mail Restricted Delivery ❑Signature Confirmation7m ❑Collect on Delivery ❑Signature Confirmation 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery ❑Insured Mail 7 11 21 2720 0000 5479 1353 OMOaiI Restricted Delivery. PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt