28 LYNDE STREET, UNIT F, 3-23-24 CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851.8424
6/15/2024
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.313
SALEM HEALTH DEPT.
SALEM CITY HALL
SALEM MA 01970
Re: Insured: KAITLYN LITTEN AND PAIGE GUNNING
Property Address: 28 LYNDE ST UNIT F, SALEM, MA 01970
Policy Number- 1530625
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 03/23/2024
Claim Number: 480260
Claim has been made involving loss,damage or destruction of the above captioned property,which may either
exceed$1000.00 or cause Massachusetts General Laws, Chapter 143. section 6 to be applicable. If any
notice under Massachusetts General Laws. Chapter 139, Section 3B is appropriate, please direct it to the
attention of the writer and include a reference to the captioned insured, location, policy number,date of loss
and claim or file number.
MPIUA Claims Division
CMA00021
RECEIVED
JUN 2 4 2024
CITY OF SALEM
BOARD OF HEALTH