68 MOFFAT ROAD CLAIM_ 5-23-25 TRAVELERSJ�
CLAIM PROFESSIONAL
City of Salem ` '
Building Inspector
120 Washington Street
Salem, MA 01970 -
Claim Number
IXE9451
May 27,2025 - -
Dear City of Salem,
Date of loss
ro: Board of Selectmen May 23,2025
Building Commissioner
Inspector of Buildings
Board of Health
k claim has been made involving loss,damage or destruction of the above (J
:aptioned property which may either exceed$1,000 or cause Masiachusetts
n r I Laws Chapter 143 5ecrion 6 to be applicable. If any notice under Loss location
Massachusetts General Laws Chapter 139 Section 3B is appropriate,please direct 68 MOFFATT RD
:to my attention and include a reference to our insured,the policy number,the
laim/file number,the date of loss,and the location. SALEM MA 01970
?uestions? Insured name: GREGORY
DINICOLA
you have any questions,please contact us. Underwriting Travelers Personal
Company: Insurance
n this date,I caused copies of this notice to be sent to the persons named above Company
-theaddressesindicated above by first class mail.
gnature Date
062 7/21
C0107 003036 006612 CGE T012510