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16 CHANDLER ROAD 8-16-23 CLAIM 1100 Crown Colony Drive P.O. Box 699195 Quincy,MA 02269-9952 ARBELLA 617.328.2800 IN6U*ZANCE arxo6v* arbella.com August 17, 2023 RECEIVED SALEM HEALTH DEPARTMENT AUG 2.1 2023 SALEM CITY HALL CITY OF SALEM 93 WASHINGTON STREET BOARD OF HEALTH SALEM, MA 01970 Claim Number: 0343815.89 Company Name: Arbella Mutual Insurance Company Date of Loss: 08/16/2023 Insured: THOMAS CRANE Property Location: 16 CHANDLER ROAD, 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, Erynne Kelley Claim Service Specialist Property Claim Office 800-272-3552 ext. 7354 Fax 617-773-4760