5 ABORN STREET 3-15-23 CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723.3800 Ma Only(800)392-6108, FAX(800)851.8424
3/25/2023
Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws. Ch.139, Sec.313 RECEIVED
MAR 3 0 2023
SALEM HEALTH DEPT. CITY OF SALEM
SALEM CITY HALL BOARD OF HEALTH
SALEM MA 01970
Re: Insured: FAITH AROKO AND MICHELLE AROKO
Property Address: 5 ABORN STREET,SALEM, MA 01970
Policy Number: 1439971
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 03/15/2023
Claim Number: 471799
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 Chester 143. section 6 to be applicable. If any
notice under Massachusetts General Laws. Cha ter 139 Section 313 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