16 Oakland St_ claim Notice 12.29.22 Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
Samuel F.MCComieck Ca.,Inc.
•DJU37ERS AMU APPRAISERS
December 30, 2022
Salem City Hall
Building Inspector
93 Washington Street
Salem. MA 01970
RE ASSURED: Gary Lowe
LOSS LOCATION: 16 Oakland Street, Salem, MA 01970-1524
POLICY NO: DP00018405
TYPE OF LOSS: Pipe burst
DATE OF LOSS: 1 212 9/2 0 2 2
OUR FILE NO: 22-03397
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
" aY
42 Holbrook Avenue,Braintree,AM 021841-800-972-5399(781)843-1222 Fax(781)849-8191
125 Waterhouse Road, Bourne,MA 02532(508)403-2600 Fax(508)403-2602
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