181 NORTH ST UNIT 211_ CLAIM LOSS 7.30.23 w
TRAVELERS) CLAIM PROFESSIONAL
. .
(978)763-5874
City of Salem
Building Inspector
Washington Str Sal r�
Salem, MA 01970
Claim Number
IMV9331 �-
August 25,2023 ✓ -- 1
Dear City of Salem, Date of loss
To: Board of Selectmen July 30,2023
Building Commissioner
Inspector of Buildings
Board of Health ^�
A claim has been made involving loss,damage or destruction of the above
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 Chanter 139.Section 3B is appropriate,please direct 181 NORTH ST UNIT211
itto my attention and include a reference to our insured,the policy number,the SALEM MA 01970
claim/file number,the date of loss,and the location.
Questions? Insured name:
Underwriting THESTANDARD
Company: FIRE INSURANCE
If you have any questions,please contact us. COMPANY
On this date,I caused copies of this notice to be sent to the persons named above
at the addresses indicated above by first class mail.
Signature Date
P00627121
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