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19 HILLSIDE AVE _ DAMAGE LOSS CLAIM 12-21-2024 Toll Free:(800)435-7764 Email:mydaim@&rmersinsurance.com FARMERS Please include your claim#on any correspondence INSURANCE National Document Center P.O. Box 268994 January 9, 2025 Oklahoma City,OK 73126-8994 W R'u',i iL:ne G',icxEl;!':a.1 status CITY OF SALEM INSPECTIONAL SERVICES SALEM FIRE DEPARTMENT 120 WASHINGTON STREET, 3RD FLOOR 48 LAFAYETTE STREET SALEM MA 01970 SALEM MA 01970 SALEM BOARD OF HEALTH 98 WASHINGTON ST SALEM MA 0 1970-3 506 RE: Insured: Robert Jackson Claim Number: 7008538170-1-1 Policy Number: 6668263860 Loss Date: 12/21/2024 Location of Loss: 19 Hillside Ave, Salem, MA Subject: Important Claim Information Dear Town Officials: This letter serves as 10-day notice that a claim has been reported involving loss, damage, or destruction of this property in the section listed above. If you intend to perfect alien aganst this property, please notify us via certified mail and reference the insured's name, location, policy number, loss date and claim number. If you have any questions, please contact me at(857) 206-3529. Thank you. Wendy Sibley Special Field Claims Representative (857) 206-3529 Farmers Property And Casualty Insurance Company Email communications are preferred and should be sent to myclairn@farmersinsurance.com. If hard copies of communications are required, they should be sent to our National Document Center at P.O. Box 268994, Oklahoma City, OK 73126-8994. K89KLK1K3