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18 SCENIC AVE - INS LOSS Michael Winston & Associates. LLC % f Innovative Risk Specialists POB 287 Salem,NH 03079 Tel: 603-494-2366 - Fax: 888-306-8106 - E-mail: michaelwinston@comcast.net July 30, 2018 Building Commissioner/Building Inspector Board of Selectman/Board of Health 93 Washington Street Salem, MA 01970 RE: Brant&Nichole Engstrom 18 Scenic Avenue Salem, MA 01970 Type of Loss: Water Date of Loss: July 27, 2018 Policy: HO 17082598 Claim number: 110010725 Our File#: MW 18-191 Location of Loss: Same To whom it may concern: The above captioned claim has been made involving damages or destruction of property which may exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143,Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139E is appropriate, please direct it to the attention of the undersigned and include a reference to the captioned insured, location, policy number, date of loss, cause of loss and claim or file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above via first class mail. Sincerely, Michael Winston Adjuster