20 BEACH AVENUE 11-29-22 CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Oniv(800)392-6108,FAX(800)851.8424
12/24/2022
Form of Notice of Casualty Loss to Building RECEIVED
Under Mass. Gen. Laws Ch.139,Sec.36 C V
JAN 0 4 202V
SALEM HEALTH DEPT. CITY OF BOARD F Fi SALEM
SALEM CITY HALL
SALEM MA 01970
Re: Insured: LINDA M SPINALE
Property Address: 20 BEACH AVE, SALEM, MA 01970
Policy Number: 1485738
Type Loss: All Other Section I Losses
Date of Loss: 11/29/2022
Claim Number: 468932
Claim has been made involving loss, damage or destruction of the above captioned property,which may either
exceed$1000.00 or cause Massachusetts General Laws Chapter 143. section 6 to be applicable. If any
notice under Massachusetts General Laws Chapter 139.Section 3B is appropriate, please direct it to the
attention of the writer and include a reference to the captioned insured, location, policy number,date of loss
and claim or file number.
MPIUA Claims Division
CMA00021