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141 MARLBOROUGH ROAD 6-10-23 CLAIM 1100 Crown Colony Drive P.O.Box 699195 L L Quincy,MA 6117.328 2800 INSWZANCE GROUP arbella.com June 12, 2023 RECEIVED JUN 16 2023 SALEM HEALTH DEPARTMENT SALEM CITY HALL CITY OF SALEM 93 WASHINGTON STREET BOARD OF HEALTH SALEM, MA 01970 Claim Number: 034364320 Company Name: Arbella Mutual Insurance Company Date of Loss: 06/10/2023 Insured: MICHELLE ROSA Property Location: 141 MARLBORO RD, 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, Justin Cabral Claim Service Specialist Property Claim Office 800-272-3552 Fax 617-773-4760