6 CYPRESS STREET 1-13-26 CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(8001851-8424
1/17/2026
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws Ch.139,Sec.313
RECEIVED
SALEM HEALTH DEPT
SALEM CITY HALL JAN 2 3 2026
SALEM MA 01970
CITY OF SALEM
BOARD OF HEALTH
Re: Insured: FAKHRI BAKR
Property Address: 6 CYPRESS ST, SALEM, MA 01970
Policy Number: 1380061
Type Loss: All Other Section I Losses
Date of Loss: 01/13/2026
Claim Number: 489340
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