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23 CEDARCREST AVENUE 9-6-24 CLAIM RECEIVED NOV 13 2024 AMERICAN NATIONAL CITY OF SALEM BOARD OF HEALTH UNITED FARM FAMILY INSURANCE COMPANY I AN AMERICAN NATIONAL COMPANY Service Center I Mail to: P.O. Box 10787,Springfield, MO 65808-0787 Ship to: 1949 E.Sunshine St., Springfield, MO 65899 November 7, 2024 Board Of Health Selectman Maureen Davis,Principal Clerk 98 Washington St 3rd Floor Salem,MA 01970-3506 RE: Claim#: 20-G-4UP511 Insured: Peter Maitland Date of Loss: September 6, 2024 Location of Loss: 23 Cedarcrest Avenue, Salem,MA To whom it may concern: Farm Family Casualty Insurance Company writes to provide notice as required by Massachusetts General Laws c. 139, §3B in connection with the matter referenced above that Farm Family has received notice of loss or damage likely in excess of$1,000. You must notify us by certified mail within 10 days of the date of this notice if you intend to initiate proceedings designed to perfect a lien against our insured otherwise we will proceed with payment. Please contact us at 1-800-948-3276 with any questions. Sincerely, -0 DeortH eAn d e r so n Sr. Claims Specialist• Farm Family Casualty Insurance Company 800-333-2861 x2192(Direct) (Fax) deborah.henderson@americannational.com 1100278(12/16)