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1 CLEVELAND ROAD 1-4-23 CLAIM s 1100 Crown Colony Drive P.O.Box 699195 Quincy,MA 02269-9952 ARBELLA 617.328.2800 [NSU z,NCE 16ROUP arbella.com January 5, 2023 RECEIVED JAN 4 9 202,W SALEM HEALTH DEPARTMENT CITY OF SALEM SALEM CITY HALL BOARD OF HEA M 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034325272 Company Name: Arbella Mutual Insurance Company Date of Loss: 01/04/2023 Insured: GRETCHEN MICHAUD Property Location: 1 CLEVELAND RD, 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, Karen Oliveira Claim Service Specialist Property Claim Office 800-272-3552 ext. 7362 Fax 617-773-4760