4 Henry St_ 7.21.22_ claim Notice Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
Sbmuel F.IkComieck Co.,Ire.
MUSTERS AND IPPNIRERR
August 5, 2022
Salem City Hall
Building Inspector
93 Washington Street
Salem. MA 01970
RE ASSURED: William Lewand & Emily Gonzalez
LOSS LOCATION: 4 Henry St, Salem, MA 01970
POLICY NO: HP00058111
TYPE OF LOSS: Wind
DATE OF LOSS: 07/21/2022
OUR FILE NO: 22-01973
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.
Veerrye truly yours �
Edward Bennett
Adjuster
efb@mccormackadjuster.com
cc: Board of Health
Fire Department
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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
ww .mccormackadjuster.com
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