11 JACKSON STREET RETURNED CERTIFIED MAIL CARD 10-12-2022 USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
MI Permit No.G-10
9590 9402 7088 1251 4694 29
United States •Sender:Please print your name,address,and ZIP+4®in this box*
Postal Service
City of Salem
Board of Health
�CE� �r�98 Washington Street, 3rd Floor
1 Salem, MA 01970-3523
OCT 12 ZID22
6"' EIA
OA S'''OF HEALTH
SENDER: COMPLETE THIS SECTION C OMPLETE THIS SECTION ON DELIVERY
• 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. ❑Addressee
is 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.
t. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
�^ t ��^^ If YES,enter delivery address below: ❑No
Jo..btrta V-ilZwtti►�
.1jackovtS+rCt j
Sit,MA 01970
3. Service Type ❑Priority Mail Express®
II I II111�III III i lil I�!I�I1��I I�II I"I II�) !II ❑Adult Signature ❑Registered Mall
TM
❑Adult Signature Restricted Delivery ❑Registered Mail Restrictex
g Certified Mail® Delivery
9590 9402 7088 1251 4694 29 ❑Certified Mail Restricted Delivery ❑Signature ConfirrnationTM
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery
Vlail
7 0 21 2 7 2 0 0000 5483 5149 Mail Restricted Delivery
O;
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt