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7 Cavendish Cir _Claim Notice 2.22.22 Samuel F. McCormack Co.. Inc. Insurance Adjusters and Appraisers AOJY8ifR4 ARO APPMIBfRB September 12, 2022 Salem City Hall Building Inspector 93 Washington Street Salem. MA 01970 RE ASSURED: Arthur& Priscilla O'Hara LOSS LOCATION: 7 Cavendish Cir, Salem, MA 01970 POLICY NO: H017040016 TYPE OF LOSS: Water DATE OF LOSS: 02/22/2022 OUR FILE NO: 22-02346 To Whom It May Concern: Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 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 it to the attention of this writer and include a reference to the above- captioned insured, location, policy number, date of loss and claim or file number. Thank you for your anticipated cooperation. Very truly yours, Edward Bennett Adjuster efb@mccormackadjuster.com cc: Board of Health Fire Department 42 Holbrook Avenue, Braintree,MA 02184 1-800-972-5399(781)843-1222 Fax(781)849-8191 125 Waterhouse Road,Bourne,MA 02532(508)403-2600 Fax(508)403-2602 w -mccormackadjuster.com