81 LORING AVE _ CLAIM 3.31.24 Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
Samuel F.Akfulmeck Co.,Inc.
AWNTEP8 AND APPRAISERS
April 12, 2024
Salem City Hall
Building Inspector
93 Washington Street
Salem, MA 01970
RE ASSURED: Luong&Phuong Nguyen
LOSS LOCATION: 81 Loring Ave, Salem, MA 01970
POLICY NO: DP0O003627
TYPE OF LOSS: Puff back
DATE OF LOSS: 03/31/2024
OUR FILE NO: 24-00950
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 3113 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,4�40*5:_
Paxton Cogswell
Adjuster
pcogswell@mccormackadjuster.com
cc: Board of Health
Fire Department
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
www.mccormackadjuster.cam