11 SUMMER STREET UNIT 1L RETURNED CERTIFIED MAIL CARD (LEAD DETERMINATION) 10-24-2022 LISPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
r Permit No.G-10
9590 9402 7088 1251 4694 43
United States •Sender:Please print your name,address,and ZIP+4®in this box•
Postal Service
City of Salem
RECEIVE D Board of Healtin
98 Washington Street, 3rd Floor
OCT 2 2�2 Salem, MA 01970-3523
CI T'Y(),4- BALL
BOARD OF HEALTH
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY,
• ComplOkitems 1,2,and 3. A. Sig ur
• Print your name and address on the reverse�"V ❑Agent
so that we can return the card to you. ❑Addressee
i Attach this card to the back of the mailpiece, B. eceived by rinted 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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If YES,enter delivery address below: ❑No
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30 Rri e,Sfrnfe-4
3. Service Type ❑Priority Mail Express®
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I R■I'!'1' II111111111111111111111
1 I 111 I I I11 I11 Ji I'II Jill
11111111 ❑Adult Signature ❑Registered Mail 3.AdultR Signature Restricted Delivery ❑Registered Mail estrictec
;KCertified Mail@ Delivery
9590 9402 7088 1251 4694 43 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
7021 2720 0000 5483 5163 oil Restricted Delivery
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt