90 Broadway _ Claim Notice_ 11.03.22 F_�0�4 Samuel F. McCormack Co. Inc.
Insurance Adjusters and Appraisers
Samuel F.hkConnark Co.,Inc.
TOJOeiEeS AND OeYNIOEO6
November 3, 2022
Salem City Hall
Building Inspector
93 Washington Street
Salem. MA 01970
RE ASSURED: Matthew Palumbo & Rosemarie Durning
LOSS LOCATION: 90 Broadway, Salem, MA 01970
POLICY NO: FP25598035
TYPE OF LOSS: Fire
DATE OF LOSS: 11/03/2022
OUR FILE NO: 22-02832
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
'N!-.'iU
I IV
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
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