29 CABOT STREET_ CLAIM TRAVELERSJR CLAIM PROFESSIONAL
sheriand@travelers.com
City of Salem '° `
Building Inspector
120 Washington Street
Salem, MA 01970
Claim Number
IMV6532
April 5,2023 - -J
Dear City of Salem,
Date of loss
To. Board of selectmen April 2,2023
Building Commissioner
Inspector of Buildings — —_
Board of Health
A claim has been made involving loss,damage or destruction of the above i on
captioned property which may either exceed$1,000 or cause Massachusetts Loss location v
GGengral Laws Chapter 143 Section 6 to be applicable. If any notice under
Massachusetts General Laws Chapter 139,Section 313 is appropriate,please direct 29 CABOT 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
Questions? Insured name: RONALD-DESCHENES,
RONALD-DESCHENES
f you have any questions,please contact us. Underwriting THE PHOENIX
Company: INSURANCE
Do 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.
signature Date
F:YI
D062 7/21
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