34 WEATHERLY DR_ CLAIM O MAPFRE I INSURANCE°
January 26, 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 34 WEATHERLY DR, SALEM MA
Name Insured: DWIGHT HAMBLET, ROSEANNE HAMBLET
Claim Number: HO10018632-
Date of Loss: Jan 21, 2023
Claimant: DWIGHT HAMBLET
Policy Number: 4395466587
Policy Period: Jan 26, 2022 -Jan 26, 2023
Building Damages Possibly Exceeding $1,000.00
Notice Pursuant to MGL Chapter 139, Section 3B
Dear DWIGHT HAMBLET:
DWIGHT HAMBLET, ROSEANNE HAMBLET 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, 12481.
Sincerely,
Citation Insurance Company
Dung Le
CLAIM SPECIALIST, PROPERTY Jt N °�' "1-44-:5
1 '
MAIL: N/A
CLM-561 05/20 Citation Insurance Company
11 Gore Road Webster MA 01570 1 www.mapfreinsurance.com