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7 COUSINS STREET 8-28-25 CLAIM RECEIVED --J11IEDL1NE SEP 0 5 2025 C\RTF11 CITY OF SALEM BOARD OF HEALTH %0J1:.S"fWr,11C TO: Salem Board of Health 98 Washington Street, 3rd Floor Salem, MA 01970 RE: Insured: Allison Bisson Property Address: 7 COUSINS ST SALEM, MA 01970 Policy Number: FP 402702 Type of Loss: Water Date of Loss: 08-28-2025 File#: 25PO1234 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the entity named above at the address indicated above by First Class Mail. Bill Ostiguy Adjuster 08-29-2025 P.O.Box 309,915 Route 6A,Yarmouth Port,MA 02675-0309 1 Phone:(508)771-3232 1 Fax:(508)790-2344 claims@friedlineandcarter.com