10 AMES STREET 6-4-23 CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171723.3800 Ma Only(800)392-6108, FAX(800)851.8424
6/10/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.313
RECEIVED
SALEM HEALTH DEPT. JUN 16 2023
SALEM CITY HALL
SALEM MA 01970 CITY OF SALEM
BOARD OF HEALTH
Re: Insured: CRAIG BILODEAU
Property Address: 10 AMES STREET, SALEM, MA 01970
Policy Number: 0713707
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 06/04/2023
Claim Number: 473015
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, Chapter 143, section 6 to be applicable. If any
notice under Massachusetts General Laws, Chapter 139, Section 3B 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