23D-149 (32) L g. . • • - r -TM
CERTIFIED MA'LTM, RECEIPT
r (Domestic Mail Only;No Insurance Coverage Provided)
For delivery information visit our website at www.usps.com®
L 491 / / r. SA oty ► , "y .
Certified Fee g ../ , ��R A�
Return Red t Fee He aric U/`/ ..,
(Endorsement Required)
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Restricted Delivery Fee q
-9 (Endorsement Required) N QO� t
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Total Postage&Fees $ 0�r �� �1060�
m Sent To
Adelard Goodin
Street Apt.No.;
or PO Box No. ^ 121 Hinckley St
City,State,ZIP44
Florence. MA 01062
ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Dat-of D:ivery
item 4 if Restricted Delivery is desired. C
• Print your name and address on the reverse
so that we can return the card to you. C. signature "FA
• Attach this card to the back of the ailpiece, X ❑Agent
or on the front if space permits. • 0 Addressee
D. Is delivery•d'dress different •m i:m 1? ❑Yes
1. Article Addressed to: If YES,enter delivery ad• ess below: ❑ No
Adelard Goodin
121Hi.nckley St
Florence MA 01062
3. Service Type
❑Certified Mail 0 Express Mail
0 Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
•
2 Article Number
, 7004.. 1160 :0005 02709442 . .
'S Form 3811.July 1990 i Domestic Return Receipt 102595-99-M.1789
UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage& Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Building Inspectors
212 Main St
Northampton MA 01G60
'.)02