29 PICKMAN ROAD TRAVELERS�J
CLAIM PROFESSIONAL
CITY OF SALEM
BUILDING INSPECTOR
120 Washington St
Salem, MA 01970
Claim Number
IMV7220
May19,2023
Dear CITY OF SALEM, Date of loss
To: Board of Selectmen May 3,2023
Building Commissioner
Inspector of Buildings
Board of Health ^m
A claim has been made involving loss,damage or destruction of the above I
captioned property which may either exceed$1,000 or cause Massachusetts Loss location
General Laws Chapter 143 Section 6 to be applicable. If any notice under
Massachusetts General Laws Chapter 139 Section 313 is appropriate,please direct 29 PICKMAN RD
it to my attention and include a reference to our insured,the policy number,the SALEM MA 01970
claim/file number,the date of loss,and the location.
Questions? Insured name:
Underwriting TRAVELERS
If you have any questions,please contact us. Company: PERSONAL
INSURANCE
On this date, I caused copies of this notice to be sent to the persons named above COMPANY
at the addresses indicated above by first class mail.
Signature Date
ti.1,IF
PO062 7121
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C0107 W2292 004836 CGEFCT01 23140