190 BRIDGE STREET APT 1401_ CLAIM TRAVELERSCLAIM PROFESSIONAL
BRITTANY
: DEMFEDWROS
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City of Salem c
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Building Inspector
120 Washington St
Salem, MA 01970
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Claim Number
IVL0147
April 21,2023
Dear City of Salem,
To: Board of Selectmen Date of loss
Building Commissioner April 3,2023
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 O°
General Laws Chapter 143.Section 6 to be applicable.If any notice under Loss location
Massachusetts General Laws Chapter 139 Section 36 is appropriate,please direct
it to my attention and include a reference to our insured,the policy number,the 190 BRIDGE ST APT 1401
claim/file number,the date of loss,and the location.
SALEM MA 01970
Questions? Insured name: DANIELLE
If you have any questions,please contact us. KIRSCH
Underwriting THE PHOENIX
On this date, I caused copies of this notice to be sent to the persons named above Company: INSURANCE
at the addresses indicated above by first class mail. COMPANY
Signature Date
MAY I Aml'�:9-9
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