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210 Essex St_ Claim TRAVELERSJNk CLAIM PROFESSIONAL City of Salem Building Inspector 120 Washington Street Salem, MA 01970 Claim Number l �I FQP7330 January 11,2023 Dear City of Salem, � Date of loss To: Board of selectmen October22,2O22 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 Qeneral Laws Chanter 143 Section 6 to be applicable.If any notice under Loss location �1�a Sa.husetts en ral Law Chapter 139 Section 36 is appropriate,please direct 210 ESSEX ST it to my attention and include a reference to our insured,the policy number,the claim/file number,the date of loss,and the location. SALEM MA 01970-3705 Questions? Insured name: SALEM FIVE BANCORP f you have any questions,please contact us. Underwriting THE PHOENIX Company: INSURANCE )n this date,I caused copies of this notice to be sent to the persons named above COMPANY it the addresses indicated above by first class mail. 3ryan Baker 01/11/2023 -N > ,C:3 t^ D062 7/21 80107 000679 001449 CGEFCT01 23012