24 NORMAN ST Apt 3_ DAMAGE CLAIM NOTICE 1-17-2025 Phone: 978-632-1660
c Fax: 978-631-2661\� RECEIVED
TRUDEAU ADJUSTMENT SERVICE JAN 2 7 2025
P.O. Box 7
Gardner,MA 01440 CITY OFSALEM
claimst7a trudeauadi cnm BOARD OF HEALTH
Notice of Casualtv Loss of Buildine
Under Massachusetts General Laws, Chapter 139, Section 3B
GIRV202���\'
Building Inspector l/
j Salem Building Dept. /
93 Washington Street
Salem, MA 01970�
Board of Health
Salem Health Dept.
93 Washington Street
Salem,MA 01970
Fire Department
Salem Fire Dept./Dept.of Records
48 Lafayette Street
Salem,MA 01970
Insured: Leigh Cochran
Claimant:
Date of Loss: 01/17/2025
Type of Loss: Water
Loss Location: 24 Norman St Apt 3,Salem,MA 01970-3353
Policy No: 1066619
File No.: 25-20753
Claim No.: 0030104745
Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed
1 000.00 or cause "Mass. Gen. Laws Cha ter 143 Section 6" to he applicable, if any notice under "Mass. Gen.
Chanter 139 Section 3B"is appropriate,please direct it to the writer and include a reference to the captioned insured, location,
Policy number,date of loss,and file or claim number.
If any notice under Claim has been made involving loss, damage or destruction of the above-captioned property, which may exceed$5000.
assachuse
Its General
attention of this writ i elude a reference athe aboveer 175,
Section 97A is insured,
please direct it to the
claim number. p ,policy number,date of loss and
On this date, I cause copies of this notice to be sent to the person(s)named above at the address indicated by first class mail.
Sincerely,
41 — I
Joshua Trudeau
Claims Adjuster