37-103 (2) SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Signature
• Print your name and address on the reverse D Agent
so that we can return the card to you. X . i ' a U K-I _ .A 4 _0 tit Addresse
• Attach this card to the back of the mailpiece, B. "ecelved by(Printed N. e) C. Date of Deliver
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
1�C I D 5 If YES,enter delivery address below: D No
Mart (4 2 l I,t y ton Pa
Ill ice- Pond. Dr-;vL_
Fio✓micA- )m/ 0 tO�i?
I I I I I I I( I I I I III I I I I I I ( I III 3. Service Type
0 0 Adult Signature Restricted Delivery 0ture 0 Prlortty Mail Express®
RenIsted Mailm
Mall Restrict
9590 9402 1770 6074 1578 76 o Certified
Ceert eedd Mail® Delivery D Rehm�ipt tor
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation'
nsured Mail 0 Signature Confirmation
7020 1290 [] Q 2 2837 3673 nsured Mail Restricted Delivery
over$500) Restricted Delivery
PS Form 3811.July 2015 PSN 7530-02-000-9053 Domestic Return Receip
USPS'TRACKING#
1111
First-Class Mail
HT ) �GC3Postage&Fees Paid
USPS
I i �► l? L Permit No.G-10
9590 9402 1770 6074 1578 76
United States •Sender.Please print your name,address,and ZIP+4®in this box•
Postal Service
CITY OF NORTHAMPT+ON
DEPT OF BU!'_DING INSPECTIONS
212 MAN STREET
NORIHAIWTON.MA 01000
rsrrrli�rr►rrilaiII IJIJI*,,�rlJIlrl;IrrrrllrrllJrr�llrriIJIrlrn