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300 LAFAYETTE STREET UNIT 3 RETURNED CERTIFIED MAIL CARD 10-31-2022 LISPS 7RACM # BOSTON tK WO First-Class Mail Postage&Fees Paid ' USPS Permit No.G-10 9590 9402 7088 1251 4694 81 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service City of Salem RECEIVED Board of Health 98 Washington Street, 3rd Floor OCT 31 Z02 Salem, MA 01970-3523 CITY OF SALE BOAR©OF HEALTH ')I oil]sssEl),+11111#1+1sIs11s11sll1s111lls111111s11111s111's}1 SENDER: COMPLETE THIS SECTION . COMPLETE THIS SECTION ON DELIVERY 0 Complete items 1,2,and 3. A. Signature R 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 If YES,enter delivery address below: ❑No �eosi�Ga9c��h 5a.1e,m, M A 019'70 3. Service Type 0 Priority Mail Expresso II I IIII�I I II� � III I I III III��II ICI(�II I I III O Adult Signature ❑Registered Mail TM ❑ R Adult Signature Restricted Delivery ❑Registered Mail estrictec XO Certified WHO Delivery 9590 9402 7088 1251 4694 81 Certified Mall Restricted Delivery ❑Signature ConfirmationTM ❑Collect on Delivery ❑Signature Confirmation 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery __.__�Mail 7021 2720 0000 5483 5 217 Mail Restricted Delivery _ 0& PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt