17 ORLEANS AVENUE 10-25-24 CLAIM RECEIVED 1100 Crown Colony Drive
P.O.Box 699195
OCT 3 ] 2024 Quincy,MA 02269-9952
R ELL f 617328.2800
IN uItANCE 43 ROUP CITY OF SALEM arbella.com
BMRs CAP PE►E,Q -
October 28, 2024
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034487281
Company Name: Arbella Mutual Insurance Company
Date of Loss: 10/25/2024
Insured: ANA CAMPOS
Property Location: 17 ORLEANS AVENUE, 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,
Douglas McGuirk
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2454
Fax 617-773-4760