16 INDIAN HILL LANE_ LOSS CLAIM 10.31.23 Y ill 1 100 Clown Colonv Drive
P.O. Box 699195
Quince. MA 02269-99s2
A R B E L L A� 617.318.1800
InsuFtANCE GROUP 8rbella.com
November 1. 2023
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
93 WASHINGTON STREET
SALEM. MA 01970
Claim Number: 034400277
Company Name: Arbella Mutual Insurance Company
Date of Loss: 10/31/2023
Insured: RITA RUSSO
Property Location: 16 INDIAN HILL LANE, 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 S1.000 or cause Massachusetts General Laws, Chapter 143. Section 6_ to be
applicable.
If any notice under Massachusetts General Law, Chapter 139. Section 313 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