124 OCEAN AVE_1.11.24_CLAIM 'Tk
rRAVELERS
CLAIM PROFESSIONAL
City of Salem
Building Inspector
120 Washington Street
Salem, MA 01970
Claim Number
IXE2439
1
3nuary 16,2024
,ear City of Salem, Date of loss
o: Board of Selectmen January 11,2024
Building Commissioner
Inspector of Buildings —
Board of Health
claim has been made involving loss,damage or destruction of the above Q �I
3ptioned property which may either exceed$1,000 or cause Massachusetts Loss location
eneral Laws Chapter 143 Section 6 to be applicable. If any notice under
lassachusetts General Laws Chapter 139 Section 313 is appropriate,please direct 1240CEAN AVE
to my attention and include a reference to our insured,the policy number,the SALEM MA 01970
aim/file number,the date of loss,and the location.
?uestions? Insured name:
Underwriting THE PHOENIX
you have any questions,please contact us. Company: INSURANCECOMPANY
n this date,I caused copies of this notice to be sent to the persons named above
the addresses indicated above by first class mail.
gnature Date
i062 7/21
1
M107 W M241 CC+EFCTW M17