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36 AMERICA WAY 10-31-22 CLAIM -0_ill 1100 Crown Colony Drive S- P.O.Box 699195 A R B E L L A® Quincy,MA 02269-9952 617.328.2800 INSURANCE GROUP arbella.com November 16, 2022 RECEIVED SALEM HEALTH DEPARTMENT NOV 2 8 2022 SALEM CITY HALL CITY OF 5r ' EIVI 93 WASHINGTON STREET BOARD OF I-1tALTi SALEM, MA 01970 Claim Number: 034313187 Company Name: Arbella Mutual Insurance Company Date of Loss: 10/31/2022 Insured: THEODORA MARKHAM Property Location: 36 AMERICA WAY# 1, SALEM, MA To Whom It May Concern: A claim has been made involving loss, damage, or destruction of the above captioned property,which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6,to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 313 is appropriate,please direct it to the attention of the writer. Please include a reference to the captioned insured, location, date of loss and claim number. Thank you for your assistance. Best regards, Erynne Kelley Claim Service Specialist Property Claim Office 800-272-3552 ext. 7354 Fax 617-773-4760