4 LOWELL STREET 12-23-22 CLAIM 1100 Crown Colony Drive
P.O.Box 699195
Quincy,MA 02269-9952
ARBELLA617.328.2800
MSURANCE ORCUP arbella.com
December 29, 2022 RECEIVED
JAN 04 202N
SALEM HEALTH DEPARTMENT CITY OF SALEM
SALEM CITY HALL BOARD OF HEALTH
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034322621
Company Name: Arbella Mutual Insurance Company
Date of Loss: 12/23/2022
Insured: ROSEMARY BANE BOGAN
Property Location: 4 LOWELL ST, 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 3B 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,
Cynthia Holden-Amor
Claim Service Specialist
Property Claim Office
800-272-3552 ext.7549
Fax 617-773-4760