19 INDIAN HILL LN_ DAMAGE LOSS CLAIM 1-8-2025 ,w.
TRAVELERS)
CLAIM PROFESSIONAL
City of Salem
Building Inspector
120 Washington Street
Salem, MA 01970
Claim Number
IXE7487
January 9,2025
Dear City of Salem, Date of loss
To: Board of Selectmen January 8,2025
Building Commissioner
Inspector of Buildings
Board of Health ^
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 ChaotPr 143 Section 6 to be applicable. If any notice under
Massachusetts General Laws Chapter 139 Section 3B is appropriate,please direct 19 INDIAN HILL LN
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.
Questions? Insured name: STACY WISH
Underwriting The Phoenix
If you have any questions,please contact us. Company: Insurance
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
P0062 7/21
a
W102 W2157 W 7W CGEFCT01 25010