289 ESSEX STREET_ CLAIM 6-22-24 w
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City of Salem Building Inspector Department
120 Washington Street
Salem, MA 01970 %9
Claim Number
IXE5067
June 24,2024
Dear City of Salem Building Inspector Department, Date of loss
To: Board of Selectmen June 22,2024
Building Commissioner
Inspector of Buildings
Board of Health 1
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 Chagter 143 Section 6 to be applicable.If any notice under 289 ESSEX ST
Massachusetts General Laws Chapter 139 Section 3B is appropriate,please direct
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 THESTANDARD
Company: FIRE 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 indicated above by first class mail.
Signature Date
LI_"L
P00627/21
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