118 FEDERAL ST_ CLAIM ., Michael Winston & Associates, LLC
n. I _' Innovative Risk Specialists
ff
f .a ( POB 287
Salem,NH 03079
Tel: 603-494-2366 - Fax: 888-306-8106 - E-mail: michaelwinston@comcast.net
January 17,2023
Salem Town Clerk
93 Washington Street
Salem, MA 01970
Please distribute to each of these departments, to comply with the reporting requirements of MGL Chapter 139,
Section 3B and MGL Chapter 143 Section 6.
TO: [XI Building Commissioner or Inspector of Buildings
[X] Board of Health or Board of Selectmen
[XI Fire Department
RE: Barbara Peck
Leach-Nichols House Condo
118 Federal Street
Salem, MA 01970
Type of Loss: Water
Date of Loss: December 28, 2022
Policy: BP28026989
Claim number: B0014007
Our File#: MW23-016 Location of Loss: Same
To whom it may concern:
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL,
Chapter 139, Section 3B is appropriate, please direct it to the attention of this writer and include a reference to the
captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice
to be sent to the persons named above at the addresses indicated above by First Class Mail.
Sincerely,
Michael Winston
Adjuster
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