69 LAWRENCE STREET 8-29-23 CLAIM 1100 Crown Colony Drive
P.O.Box 699195
Quincy,MA 02269-9952
ARBELLA 617.328.2800
t suftAme .OR,OUP; arbella.com
September 6, 2023 RECEIVED
SALEM HEALTH DEPARTMENT SEP 14 2023
SALEM CITY HALL
ALEM
93 WASHINGTON STREET CITY OF HEALTH
SALEM, MA 01970 BOARD OF HE
Claim Number: 034384571
Company Name: Arbella Mutual Insurance Company
Date of Loss: 08/29/2023
Insured: MARY YETTS
Property Location: 69 LAWRENCE STREET, 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 313 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,
Douglas McGuirk
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2454
Fax 617-773-4760