17 CENTRAL ST UNIT 8_ CLAIM NOTICE 4.30.23 TRAVELERSJ�
City of Salem
Building Inspector
120 Washington St
Salem, MA 01970
Claim Number
IMV6972
May3,2023
Dear City of Salem, Date of loss
To: Board of selectmen April 30,2023
Building Commissioner
Inspector of Buildings
Board of Health
A claim has been made involving loss,damage or destruction of the above 0
captioned property which may either exceed$1,000 or cause Massachusetts Loss location
General Laws Chapter 143.Section 6 to be applicable.If any notice under
Massachusetts General Laws Chapter 139.Section 36 is appropriate,please direct 17 CENTRAL ST UNIT 8
it to my attention and include a reference to our insured,the policy number,the I SALEM MA 01970
claim/file number,the date of loss,and the location.
Questions? Insured name: MICHELE
MCHUGH
Underwriting THESTANDARD
If you have any questions,please contact us. Company: FIRE INSURANCE
COMPANY
On this date,l caused copies of this notice to be sent to the persons named above
at the addresses indicated above by first class mail.
Signature Date
WIN
P00627121
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