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28 SYMONDS STREET 7-12-23 CLAIM 1100 Crown Colony Drive P.O.Box 699195 y Quincy,MA 02269-9952 ARDE 617.328.2800 INSuRANCE WtOuP arbella.com July 19, 2023 RECEIVED JUL 24 2023 SALEM HEALTH DEPARTMENT CITY OF SALEM SALEM CITY HALL BOARD OF HEALTH 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034373331 Company Name: Arbella Mutual Insurance Company Date of Loss: 07/12/2023 Insured: DEBRA GREEN Property Location: 28 SYMONDS ST, 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 ext. 7394 Fax 617-773-4760