23D-107 (16) ti 1. . 'os a ervlceTM
ti CERTIFIED MAIL RECEIPT
r (Domestic Mail Only;No Insurance Coverage Provided)
For delivery information visit our website at www.usps.com
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Postage $
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Certified Fee \(-)R T H
Return Reclept Fee C <A
(Endorsement Required) 1 J ,de. Here
Restricted Delivery Fee /
(Endorsement Required) C Q Z
Total Postage&Fees $ l b ( fO
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Street,Apt.No.; JC fl smith
or PO Box No.
City,State,Z/Pr4 1 JCtwriTon IAA 01060
ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X KG//Ri `'A 7 Agent
• Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Deliv
• Attach this card to the back of the mailpiece, !.L 1 \ 0/
or on the front if space permits —A
D. Is delivery address different from item 1? ❑ es
1. Article Addressed to: If YES,enter delivery address below: ❑ No
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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) 0 Yes
2. Article Number 7004 1160 0005 0270 9732
(Transfer from sere
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UNITED STATES POSTAL SERVICE 111111 First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
CITY OF NORTHAMPTON
DEPT OF BUILDING INSPECTIONS
212 MAIN STREET
NORTHAMPTON,MA 0.060