3 CARPENTER STREET 2-4-23 CLAIM 1100 Crown Colony Drive
P.O.Box 699195
�� Quincy,MA 02269-9952
617.328.2800
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RECEIVE®
February 7, 2023
FEB 10 2023
SALEM HEALTH DEPARTMENT CITY OF SALEM
BOARD OF HEALTH
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034332912
Company Name: Arbella Indemnity Insurance Company
Date of Loss: 02/04/2023
Insured: JONATHAN FIRTH
Property Location: 3 CARPENTER 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