19 WITCHCRAFT ROAD 10-20-25 CLAIM RECEIVED
,all 1 100 Crown Colony Drive
P.O.Box 699195
OCT 2 7 2025 Quincy,MA 02269-9952
ARBE L L� 617.328.2800
INSUAANeE OROAJP CITY OF SALEM arbella.com
BOARD OF HEALTH
October 22, 2025
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034569173
Company Name: Arbella Mutual Insurance Company
Date of Loss: 10/20/2025
Insured: STEVEN OUELLETTE
Property Location: 19 WITCHCRAFT RD, 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,
Cynthia Holden-Amor
Claim Service Specialist
Property Claim Office
781-213-6149
Fax 617-773-4760