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30 CHESTNUT STREET 2-4-23 CLAIM l 100 Crown Colony Drive P.O.Box 699195 x Quincy,MA 02269-9952 ARBE 617.328.2800 1t46uRAt4cE: b.rzouP arbellaxom February 14, 2023 RECEIVED SALEM HEALTH DEPARTMENT FEB 2 2 2023 SALEM CITY HALL CITY OF SALEM 93 WASHINGTON STREET BOARD OF HEALTH SALEM, MA 01970 Claim Number: 034334911 Company Name: Arbella Mutual Insurance Company Date of Loss: 02/04/2023 Insured: JANE PHILLIPS Property Location: 30 CHESTNUT STREET, 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, Douglas McGuirk Claim Service Specialist Property Claim Office 800-272-3552 ext. 2454 Fax 617-773-4760