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10 WEATHERLY DRIVE, #2, 8-10-24 CLAIM 1100 Crown Colony Drive P.O.Box 699195 A R B E L L. Quincy,MA 02269-9952 7.328 2800 INSURANCE GROUP arbella.com August 14, 2024 SALEM HEALTH DEPARTMENT SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034470211 Company Name: Arbella Indemnity Insurance Company Date of Loss: 08/10/2024 Insured: LEO TREMBLAY Property Location: 10 WEATHERLY DR#2, 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 3B 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, Douglas McGuirk Claim Service Specialist Property Claim Office 800-272-3552 ext. 2454 Fax 617-773-4760 RECEIVED AUG 2 0 2024 CITY OF SALEM BOARD OF HEALTH