9 Fortune Way_Claim TRAVELERSJ�
MURPHYSERAFINO
CLAIM PROFESSIONAL
City of Salem Building Inspector
120 Washington Street
Salem, MA 01970
Claim Number
IMV4470
January 27,2023
Dear City of Salem Building Inspector, Date of IOSS
To: Board of Selectmen January 26,2023
Building Commissioner
Inspector of Buildings
Board of Health
A claim has been made involving loss,damage or destruction of the above
captioned property which may either exceed$1,000 or cause Massachusetts Loss location
mineral Laws Chapter 143 Section 6 to be applicable. If any notice under
Massachusetts GeneLal Laws Chapter 139,Section 3B is appropriate,please direct 9 FORTUNE WAY
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: CAROL BARRY
Underwriting THE TRAVELERS
If you have any questions,please contact us. Company: HOME AND
MARINE
On this date,I caused copies of this notice to be sent to the persons named above INSURANCE
at the addresses indicated above by first class mail. COMPANY
Signature Date
-PB 7rw12:52
IFS_
10062 7/21
IF
C0107000700 WMI CGEFCT l20 8