19 HANCOCK STREET 6-29-24 CLAIM RECEIVED
l 100 Crown Colony Drive
P.O. Box 699195
AUG 2 6 2024
Quincy,MA 02269-9952
.ARBELL.& 617.328.2800
CITY OF SALEM arbella.com
� ' BOARD OF HEALTH
August 16, 2024
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034462039
Company Name: Arbella Mutual Insurance Company
Date of Loss: 06/29/2024
Insured: CHARLES NELSON
Property Location: 19 HANCOCK 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 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