17 CAVENDISH CIR ® MAPFRE I INSURANCE`
June 14, 2023
Sent Via First Class Mail
Building Commissioner or
Inspector of Buildings
City/Town Hall
SALEM, MA 01970
Board of Health or
Board of Selectmen
City/Town Hall
SALEM, MA 01970
RE: Property Damage to 17 CAVENDISH CIR, SALEM MA
Name Insured: MARYANNE GREBENSTEIN
Claim Number: H010023319-
Date of Loss: Jun 12, 2023
Claimant: MARYANNE GREBENSTEIN
Policy Number: 4929540889
Policy Period: Mar 30, 2023— Mar 30, 2024
Building Damages Possibly Exceeding $1,000.00
Notice Pursuant to MGL Chapter 139, Section 3B
Dear MARYANNE GREBENSTEIN:
MARYANNE GREBENSTEIN has presented a claim involving loss, damage or destruction of
the above captioned property which may exceed $1,000.00 in total damages 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 said notice to my attention, referencing the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
Please contact the undersigned with any questions at 855.627.3737, Ext, 15628.
Sincerely,
Commerce Insurance Company
Dung Le =
Claim Specialist, Property
MAIL: N/A
CLM-561 05/20 Commerce Insurance Company
11 Gore Road Webster MA 01570 1 www.mapfrainsurance.com