17 ORLEANS AVENUE 2-4-23 CLAIM RECEIVED
1100 Crown Colony Drive
FEB 13 2023 P.O. Box 699195
Quincy,MA 02269-9952
ARBELLA CITY OF SALEM 617.328.2800
H 1-uftA CE �GROuP BOARD OF HEALTH arbella.com
February 8, 2023
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034332968
Company Name: Arbella Mutual Insurance Company
Date of Loss: 02/04/2023
Insured: ANA CAMPOS
Property Location: 17 ORLEANS AVENUE, 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,
Sarah Monaco
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7323
Fax 617-773-4760