69 BRITTANIA CIR UNIT 153B_ LOSS CLAIM 2.4.23 TRAVELERSJ�
CLAIM PROFESSIONAL
City of Salem Building Inspector
120 Washington Street
Salem, MA 01970
Claim Number
IMV4717
February 10,2023
Dear City of Salem Building Inspector, Date of loss
To: Board of Selectmen February 4,2023
Building Commissioner
Inspector of Buildings
Board of Health
A claim has been made involving loss,damage or destruction of the above Q
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 69 BRITTANIA CIR 1536
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: PATRICIA
Questions PEREZ--ELIAS
Underwriting TRAVELERS
If you have any questions,please contact us. Company: PERSONAL
INSURANCE
On this date,I caused copies of this notice to be sent to the persons named above COMPANY
at the addresses indicated above by first class mail.
Signature Date
FE'3
P00627/21