22 VISTA AVE_ LOSS CLAIM 8-15-24 Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
Senmel F.1&Coreurk Co.,la.
ARJReTFRR AND APPMIRFRR
August 20, 2024
Salem City Hall
Building Inspector
93 Washington Street
Salem, MA 01970
RE ASSURED: Michael & Renee Kostopoulos
LOSS LOCATION: 22 Vista Ave, Salem, MA 01970
POLICY NO: HP00187856
TYPE OF LOSS: Lightning
DATE OF LOSS: 08/15/2024
OUR FILE NO: 24-01806
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 36 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 truly yours,
&q't,.'V J7l-N_�Vq'
Edward Bennett
Adjuster
efb@mccormackadjuster.com
cc: Board of Health
Fire Department
42 Holbrook Avenue,Braintree,MA 021841-800-972-5399(781)843-1222 Fax(781)849-8191
125 Waterhouse Road,Bourne,MA 02532(508)403-2600 Fax(508)403-2602
w .ntccorntackadjuster.com