23 May St_ Claim Notice _ 10.27.21 Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
9mud F.McCarmRck Co.,Ire.
ADJUSTERS AND APPRAISERS
November 14, 2022
Salem City Hall
Building Inspector
93 Washington Street
Salem. MA 01970
RE ASSURED: Edward J & Ellen M Barnett
LOSS LOCATION: 23 May St, Salem, MA 01970
POLICY NO: 2391317
TYPE OF LOSS: Wind
DATE OF LOSS: 10/27/2021
OUR FILE NO: 22-02928
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 36 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
1.
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