5 Palmer St_ Claim 6.28.24 Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
SEmuRI F.M1tCRmmck Co..Inc.
•WOSTERS RMO•PPMIRERR
June 28, 2024
Salem City Hall
Building Inspector
93 Washington Street
Salem, MA 01970
RE ASSURED: Akinyemi Dosumu
LOSS LOCATION: 5 Palmer St, Salem, MA 01970 -
POLICY NO: DP00027072
TYPE OF LOSS: Water
DATE OF LOSS: 06/26/2024
OUR FILE NO: 24-01456
To Whom It May Concern:
Claim has been made involving loss, damage or destruction of the above-captioned property, which
may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to
be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is
appropriate, please direct it to the attention of this writer and include a reference to the above-
captioned insured, location, policy number, date of loss and claim or file number.
Thank you for your anticipated cooperation.
Very"trullyy yours,
Steve Tasho
Adjuster
- STasho@McCormackAdjuster.com
cc: Board of Health
Fire Department
42 Holbrook Avenue,Braintree,MA 02184 1-800-972-5399(781)843-1222 Fax(781)849-8191
125 Waterhouse Road,Bourne,MA 02532(508)403-2600 Fax(508)403-2602
R .mccormackadjuster.com