11 CHURCH STREET_ CLAIM NOTICE 2.4.23 1100 Crown Colony Drive
P.O. Box 699195
A R B E L LA' Quincy,MA 02269-9952
INSURANCE 6ROU♦ 617.328.2800
arbella.com
February 1.4T�B23—
RECEIVED
Z SALEM BUILDING COMMISSIONER FEB 2 2 2023
SALEM CITY HALL
93 WASHINGTON STREET CITY OF SALEM
SALEM, MA 01970 BOARD OF HEALTH
Claim Number: 034334867
Company Name: Arbella Mutual Insurance Company
Date of Loss: 02/04/2023
Insured: MICHELINE RYAN
Property Location: 11 CHURCH ST, SALEM, MA
To Whom It May Concern:
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 Law, Chapter 139, Section 3B is appropriate, please direct it
to the attention of the writer. Please include a reference to the captioned insured, location, date of loss
and claim number.
Thank you for your assistance.
Best regards,
Douglas McGuirk
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2454
Fax 617-773-4760