17 NURSERY STREET 11-2-25 CLAIM 1100 Crown Colony Drive
1 P.O.Box 699195
�� Quincy,MA 02269-9952
ARBE 617.328.2800
L N-S JRANC,V- 6ROO , arbella.com
November 3, 2025 RECEIVED
SALEM HEALTH DEPARTMENT NOV O 6 2025
SALEM CITY HALL CITY OF SALEM
93 WASHINGTON STREET BOARD OF HEALTH
SALEM, MA 01970
Claim Number: 034571854
Company Name: Arbella Mutual Insurance Company
Date of Loss: 11/02/2025
Insured: NANCY BURNETT
Property Location: 17 NURSERY 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,
Cynthia Holden-Amor
Claim Service Specialist
Property Claim Office
781-213-6149
Fax 617-773-4760