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0 DEFRANCESCO AVENUE 7-31-24 CLAIM K]S INDEPENDENT CLAIMS SERVICE, INC. Service • Integrity • Experience Notice of Casualty Loss to Building Under Massachusetts General Laws, Chapter 139, Section 3B July 31, 2024 Salem, MA Building Inspector 1 Salem Green Salem,MA 01970 Salem, NIA Board of Health 9 North Street Salem, MA 01970 Salem, MA Fire Department 48 Lafayette Street Salem, MA 01970 INSURED: Joyce Marie & Barri Lynn Chandler ADDRESS: 0 Defrancesco Ave, Salem,MA 01970 LOCATION OF LOSS: 0 Defrancesco Ave, Salem,MA 01970 COMPANY: Vermont Mutual Insurance POLICY#: HP00046229 CLAIM#: 24-97204 DATE OF LOSS: 07/31/2024 TYPE OF LOSS: Water Dear Sir or Madam: Independent Claims Service is the insurance adjusting firm hired by the above referenced client to handle the captioned loss on behalf of their insured. A claim has been made involving loss, damage, or destruction of the above-captioned property which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please bring it to our attention, and include a reference of the captioned insured: Location,policy number, and/or date of loss. Sincerely, INDEPENDENT CLAIMS SERVICE,INC. G`��Q t REC1 a ­ ti �G �ro OFF CEP N BC g0 22 Water Street Westborough,MA 01 581 508.366.8535 FAX 508.366.091 7 www.icsclaims.com