323 LAFAYETTE ST UNIT 3_ CLAIM LOSS 2.4.23 TRAVELERS
Call . .
City of Salem Building Inspector
120 Washington Street
Salem, MA 01970
f
Claim Number
IMV5262
February 10,2023 +�.
Dear City of Salem Building Inspector, Date of loss
To: Board of Selectmen February 4,2023
Building Commissioner
Inspector of Buildings m
Board of Health �I 1
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 [323 LAFAYETTE ST 3
Massachusetts General Laws Chapter 139 Section 3B is appropriate,please direct
it to 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.
Insured name: MARISSA
Questions? GONZALEZ
Underwriting TRAVELERS
If you have any questions,please contact us. Company: PERSONAL
SECURITY
On this date,I caused copies of this notice to be sent to the persons named above INSURANCE
at theaddresses indicated above by first class mail. COMPANY
Signature Date
�FE 17 AM1 :01
FES
P0062 7/21
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