35 FELT STREET 11-1-25 CLAIM Phone: 978-632-2660 Fax: 978-632-2662
RECEIVED
NOV 0 6 2025
TRUDEAU ADJUSTMENT SERVICE
P.O.Box 7 CITY OF SALEM
Gardner,MA 01440 BOARD OF HEALTH
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Notice of Casualty Loss of Buildint_
Under Massachusetts General Laws, Chapter 139,Section 311
11/03/2025
Building Inspector
Salem Building Dept.
93 Washington Street
Salem,MA 01970
Board of Health
Salem Health Dept.
93 Washington Street
Salem,MA 01970
Fire Department
Salem Fire Dept./Dept.of Records
48 Lafayette Street
Salem,MA 01970
Insured: Michael Donnor
Date of Loss: 11/01/2025
Type of Loss: Fire
Loss Location: 35 Felt St.,Salem,MA 01970-2435
Policy No: 1807723
File No.: 25-21131
Claim No.: 0030120986
Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed
1 000.00 or cause "Mass. Gen. Laws, Chapter 143, Section 6" to be applicable. If any notice under "Mass. Gen. Laws,
Chapter 139,Section 3B"is appropriate,please direct it to the writer and include a reference to the captioned insured,location,
policy number,date of loss,and file or claim number.
On this date,I cause copies of this notice to be sent to the person(s)named above at the address indicated by first class mail.
Sincerely,
Michael Williams
Claims Adjuster