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73 LAWRENCE STREET 3-28-24 CLAIM l 100 Crown Colony Drive P.O. Box 699195 Quincy, MA 02269-9952� �� 617.328.2800 !h€SURANCE CnOUa arbellaxom RECEIVED April 2, 2024 APR 0 5 2024 SALEM HEALTH DEPARTMENT CITY OF SALEM SALEM CITY HALL BOARD OF HEALTH 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034437111 Company Name: Arbella Mutual Insurance Company Date of Loss: 03/28/2024 Insured: BERTRAND GAGNON Property Location: 73 LAWRENCE 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 Printed with pdfFactory Pro trial version - purchase at www.pdffactory.com