6 CEDARVIEW ST_ LOSS CLAIM 3.11.24 TRAVELERSJw
CLAIM PROFESSIONAL
Call(781)402-9270
City of Salem Building Inspector
120 Washington Street
Salem, MA 01970
Claim Number
XE3421
March 14,2024
l • � • I
Dear City of Salem Building Inspector, Date of loss
To: Board of Selectmen March 11,2024
Building Commissioner
Inspector of Buildings - —
Board of Health n
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 Chapter 139 Section 3B is appropriate,please direct 6 CEDARVIEW ST
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:
Questions? Underwriting THE PHOENIX
Company: 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 irci catedabove by first class mail.
Signature Date
P00627121
B0107 002191 W{B51 CGEFLTOt 2�75