37 HANCOCK STREET 7-14-25 CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723.3800 Ma Onlv(800)392-6108, FAX(800)851-8424
7/19/2025
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139.Sec.36 RECEIVED
JUL 2 9 2025
SALEM HEALTH DEPT
SALEM CITY HALL CITY OF SALEM
BOARD OF HEALTH
SALEM MA 01970
Re: Insured: JUDITH E. MIRABILE
Property Address: 37 HANCOCK STREET, SALEM, MA 01970
Policy Number: 1259667
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 07/14/2025
Claim Number: 486554
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