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18 Roslyn St Apt 2_ Claim Notice_ 8.12.22 TRAVELERS Jw 40 THE TRAVELERS INDEMNITY COMPANY P.O. Box 430 Buffalo, NY 14240-0430 08/16/2022 City of Salem Building Inspector 120 Washington Street Salem MA 01970 Insured: Martin Thresher Claim Number: IMV1594 Policy Number: OGU211-600566365-636-1 Date of Loss: 08/12/2022 Loss Location: 18 Roslyn St Apt 2 Salem MA To: Board of Selectmen Building Commissioner Inspector of Buildings Board of Health A claim has been made involving loss, damage or destruction of the above captioned property which may either exceed $1,000 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 my attention and include a reference to our insured, the policy number, the claim/file number, the date of loss, and the location. If you have any questions, please feel free to contact me at (617)721-8570 or email me at BWBAKER@travelers.com. Sincerely, Bryan Baker Claim Professional (617)721-8570 Ext. 6177218570 Fax: (877)786-5584 Email: BWBAKER@travelers.com On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Signature Date AU P0062 F3162C1522229000470 00001 N