10 HOWARD STREET UNIT 12 RETURNED CERTIFIED MAIL CARD 10-11-2022 I
USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
]moll 11 r,
Permit No.G-10
9590 9402 7088 1251 4680 57
United States •Sender:Please print your name,address,and ZIP+4®in this box•
Postal Service
City of Salem
R k C EN E D Board of Health
98 Washington Street, 3rd Floor
OCT 1 1 2 Zt Salem, MA 01970-3523
CITY OF SEkq' EM
BOARD OF H-
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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.
■ Print your name and address on the reverse X ❑Agent
so that we can return the card to you. ❑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
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tom.;�L���d�Z w►�� If YES,enter delivery address below: ❑No t
Ronu
B0Xford.1 M 019 2 j
3. Service Type ❑Priority Mail Express@
II I il�lll Illl��� III I III'III II III Iil II I I'll ❑Adult Signature ❑Registered MaIIT11
i I I I ❑Adult Signature Restricted Delivery ❑Registered Mail Restrictec
;9 Certified Mail@ Delivery
9590 9402 7088 1251 4680 57 ❑Certified Mail Restricted Delivery ❑Signature ConfirmationTM
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service label) O Collect on Delivery Restricted Delivery Restricted Delivery
F Insured Mail
7021 2720 0000 5479 1636 DDQ it Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt