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69 LAWRENCE ST_ LOSS CLAIM 8.29.23 1100 Crown Colony Drive sa P.O. Box 699195 2269-9952 AR B E L LA Quincy,MA 60 .328.2800 617.328.2800 INSURANCE GROUP arbella.com September 6, 2023 SALEM BUILDING COMMISSIONER SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034384571 Company Name: Arbella Mutual Insurance Company Date of Loss: 08/29/2023 Insured: MARY YETTS Property Location: 69 LAWRENCE STREET, SALEM, MA To Whom It May Concern: A claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed$1,000 or cause Massachusetts General Laws, Chapter 143, Section 6,to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate,please direct it to the attention of the writer. Please include a reference to the captioned insured, location, date of loss and claim number. Thank you for your assistance. Best regards, Douglas McGuirk Claim Service Specialist Property Claim Office _ 800-272-3552 ext. 2454 Fax 617-773-4760