2 BURNSIDE STREET UNIT 3 RETURNED CERTIFIED MAIL CARD 9-8-2022 USPS TRACKNG#
First-Class Mail
Postage&Fees.Paid
USPS
liflill .7 L Permit No.G-10
90 9402 7088 1251 4679 68
United States •Sender:Please print your name,address,and ZIP+4®in this box*
Postal Service
CITY OF SALEM
BOARD OF HEALTH
RECEIVE 98 WASHINGCON ST,3RD FL
SALEM,MA 01970
SEP 0 S 2 22
,.;try OF 6ALEl'Vi
BOARD OF HEMMIN11 11111, ,111.11,W11111 ..1111111"Will"III&
SENDER: COMPLETE THIS SEC77ON COMPLETE THIS SECTION ON DELIVERY—,.
■ Complete items 1,2,and 3. ",Ak° ignature
■ Print your name and address on the reverse X \ ❑Agent
so that we cp n return the card to you. \. ❑Addressee
Aftach this,`'trd to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery
a° .nt if space permits.
1:'Article Adutessed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑No
1.5" PeA Dr lye
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2-3
3. Service Type ❑Priority Mail&presso
ag `+ii ii ❑AduItSignature ❑Registered MailTm
�III�I���I 1fi r 4i I'I(I� I�I III �II ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted
III W,Certified Mail® Delivery
9590 9402 7088 1251 4679 68 ❑Certified Mail Restricted Delivery ❑Signature ConfirmationTM
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service labeq 0 Collect on Delivery Restricted Delivery Restricted Delivery
❑Insured Mail
7021 2720 0000 5 4 7 9 15 3 7- Mail
Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-4W-9p53— - Domestic Return Receipt