3 HAWTHORNE BLVD_ CLAIM 9-22-24 TRAVELERS-
CLAIM PROFESSIONAL
COLLEEN BRAGUE
City of Salem
Building Inspector ' =
120 Washington Street
Salem, MA 01970
Claim Number
13JO436
September 30,2024
dear City of Salem,
ro* Board of selectmen Date of loss
Building Commissioner
Inspector of Buildings September 22,2024
Board of Health (�(�
claim has been made involving loss,damage or destruction of the above
iptioned property which may either exceed$1,000 or cause Massachusetts �L Q
as r I aw haoter143 Seer to be applicable. If any notice under Loss location o
assach setts eneral Laws Chaot r 1
li my attention and include a reference to our fi sued,the policy number,the
ppro riate, lease direct 3 HAWTHORNE BLVD
iim/file number,the date of loss,and the location.
SALEM MA 01970
uestions? -- --- _�
Insured name:
ou have any questions,please contact us. Underwriting THE PHOENIX
Company: INSURANCE
this date,I caused copies of this notice to be sent to the persons named above COMPANY
he addresses indicated above by first class mail_
iature
Dates
�62 7/21
134)107O 1001019 CGEJ CT l NV5