25C-259 (7) WILLIAM H. MITCHELL 9 FAIR STREET
T�
R-HA'�PaON OF 3UIL:)IN,�
JUx,K AND/OR UNREGISTERED MOTOR VEHICLES INSPECTIONS
I'N`SPECTION SHEET k/lR .A
ADDRESS J - Ile, Sf ASSESSORS MAP--PAGEdZ� PLOT
OWNER OF PROPERTY t1iwpn khe DATE OF INSPECTION 3/�-5
V
OWNER OF VEHICLE `—
WAS THE OWNER OF THE PROPERTY OR THE VEHICLE CONTACTED AT THE TIME OF INSPECTION? /L?
HOW MANY JUNK OR UNREGISTERED VEHICLES ON THE PROPERTY?
WERE PICTURES TAKEN OF THE VEHICLES ?
DESCRIPTION OF VEHICLES:
MAKE MODEL YEAR JUNK UNREGISTERED
REMARKS: ( V• 0 tD QQ�9
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
SENDER INSTRUCTIONS PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
Print your name,address,and ZIP Code in the space below. OF POSTAGE, 000
• Complete items 1, 2, and 3 on the reverse.
• Moisten gummed ends and attach to front of article
if space permits. Otherwise affix to back of article. I
• Endorse article "Return Receipt Requested" adja-
cent to number.
RETURN
TO
DM (0fR"6 1"SmWil NB
212 Main Street
Na�en+ptflw•�ass.
(City, State, and ZIP Code)
p 0 SENDER: Complete item; 1,2,and i.
" Add your address in the "RETURN TO" space on
3 reverse.
' 1. The following service is requested(check one).
Show to whom and date delivered. .....,... ¢
C ❑ Show to whom,date,and address of delivery. .—¢
E] RESTRICTED DELIVERY
to:° Show to whom and date delivered..... .... .
—¢
RESTRICTED DELIVERY.
Show to whom,date,and address of delivery.$�
(CONSULT POSTMASTER FOR FEES)
s
2. ARTICLE ADDRESSED TO:
William H. Mitchell G
Z
z
m 3. AFKICLI DESCRIPTION:
REGISTERED NO. CERTIFIED NO. INSURED NO.
� a 86003q
m
(Always obtain signature of addressee or agent)
f V7 .
i m I have received the article described above.
CSIGNATURE ❑ Addressee ❑ Authorized agent
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CC 4.
rn DATE OF LIV£
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Z Me
A5. AODR Comp too y if reques d) 1
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1.979
6.6. UNABLE TO DELIVER BECAUSE: CLERICS
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*GPO:1978-272-932
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STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front)
1. It you want this receipt postmarked,stick the gummed stub on the left portion of the address side of
'4 article,leaving the receipt attached,and present the article at a post office service window or
hand it to your rural carrier.(no extra charge)
2. If you h not want this receipt postmarked,stick the gummed stub on the left portion of the address
side of the article,date,detach and retain the receipt,and mail the article.
3. If you want a return receipt,write the certified-mail number and your name and address on a return
receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space
permits.Otherwise,afix to back of article.Endorse front of article RETURN RECEIPT REQUESTED
adjacent to the number.
4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,
endorse RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If return
receipt is requested,check the applicable blocks in Item 1 of Form 3811.
6. Save this receipt and present it if you make inquiry.
No.
RECEIPT FOR CERTIFIED MAIL
ENO INSUR*CE COVERAGE PROVIDED—
NOT FOR INTERNATIONAL MAIL
(See Reverse)
SENT TO
William H. Mitchell
STREET AND NO.
Street
P.O.,STATE AND ZIP CODE
North=ton. Ma. 01060
POSTAGE $
y CERTIFIED FEE 80 Q
W
LL SPECIAL DELIVERY Q
p RESTRICTED DELIVERY Q
R W W
yU V SHOW TO WHOM AND Q
t> Q DATE DELIVERED
� J F SHOW TO WHOM,DATE, .
y a AND ADDRESS OF Q
O Z W DELIVERY
CL C W SHOW TO WHOM AND DATE
d CE DELIVERED WITH RESTRICTED Q
y O Z DELIVERY
C H
SHOW TO WHOM,DATE AND
V W ADDRESS OF DELIVERY WITH Q
Q RESTRICTED DELIVERY
TOTAL POSTAGEf�FE3 $
POSTMARK,OR E
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