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7 ASH STREET 3-28-24 CLAIM 1100 Crown Colony Drive P.O. Box 699195 �� � Quincy, MA 02269-9952 617.328.2800 INSURA CV OR04,P arbella.com April 2, 2024 RECEIVED APR 0 5 2024 SALEM HEALTH DEPARTMENT CITY OF SALEM SALEM CITY HALL BOARD OF HEALTH 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034436327 Company Name: Arbella Mutual Insurance Company Date of Loss: 03/28/2024 Insured: RICHARD POISSON Property Location: 7 ASH ST, SALEM, MA To Whom It May Concern: A claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6,to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 313 is appropriate,please direct it to the attention of the writer. Please include a reference to the captioned insured, location, date of loss and claim number. Thank you for your assistance. Best regards; Heather McGrath Claim Service Specialist Property Claim Office 800-272-3552 Fax 617-773-4760 Printed with pdfFactory Pro trial version - purchase at www. . dffactor .corn