29 NORTHEY ST_11.27.23_ CLAIM ,�)P MAPFRE INSURANCE`
November 27, 2023
Sent Via First Class Mail
Building Commissioner or
Inspector of Buildings
City/Town Hall
SALEM, MA 01970
Board of Health or
Board of Selectmen
City/Town Hall
SALEM, MA 01970
RE: Property Damage to 29 NORTHEY ST, SALEM MA
Name Insured: HOLLY MATULEWICZ
Claim Number: HO10028276-
Date of Loss: Nov 27, 2023
Claimant: HOLLY MATULEWICZ
Policy Number: 4477374806
Policy Period: Dec 3, 2022— Dec 3, 2023
Building Damages Possibly Exceeding S1 000 00
Notice Pursuant to MGL Chaoter 139 Section 3B
Dear HOLLY MATULEWICZ:
HOLLY MATULEWICZ has presented a claim involving loss, damage or destruction of the
above captioned property which may exceed $1,000.00 in total damages or cause
Massachusetts General Laws, Chapter 143, Section 6 to be applicable.
If any notice under Massachusetts General Laws Chapter 139 Section 3B is appropriate,
please direct said notice to my attention, referencing the above captioned insured, location,
Policy number, date of loss, and file number on any correspondence.
Please contact the undersigned with any questions at 855.627.3737, Ext, 15628.
Sincerely,
Commerce Insurance Company
Duna Le
CLAIM SPECIALIST, PROPERTY
MAIL: 11 Gore Rd, Webster, MA 01570-6817
LM-561 05/20 Commerce Insurance Company
11 Gore Road Webster MA 01670 1 www.mapfreinsurance.com
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