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40 PRINCE STREET 7-6-23 CLAIM Michael Winston & Associates, LLC Innovative Risk Specialists Ili t� IA�i ' POB 287 Salem,NH 03079 - " Tel: 603-494-2366 - Fax: 888-306-8106 - E-mail: michaelwinston@comcast.net July 6, 2023 Salem Town Clerk 93 Washington Street Salem,MA 01970 Please distribute to each of these departments,to comply with the reporting requirements of MGL Chapter 139, Section 313 and MGL Chapter 143 Section 6. TO: [X] Building Commissioner or Inspector of Buildings [X] Board of Health or Board of Selectmen [X] Fire Department RE: Megan Woodcock Chalifour Family Trust 19 Foster Street Salem,MA 01970 Type of Loss: Partial Collapse Date of Loss: July 6,2023 Policy: BP21054566 Claim number: B0015458 Our File#: MW23-088 Location of Loss: 40 Prince Street, Salem,MA 01970 To whom it may concern: Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed$1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Chapter 139, Section 313 is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location,policy number, date of loss and file number. On this date,I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. Sincerely, Michael Winston Adjuster