61 BUFFUM STREET 3-9-26 CLAIM INDEPENDENT RECEIVED
CLAIMS SERVICE, INC.
MAR 17 2026
Service Integrity Experience CITY OFSALEM
Notice of Casualty Loss to Building BOARD OF HEALTH
Under Massachusetts General Laws, Chapter 139, Section 3B
March 10, 2026
Salem, MA Building Inspector
1 Salem Green
Salem, MA 01970
Salem, MA Board of Health
9 North Street
Salem, MA. 01970
Salem, MA Fire Department
48 Lafayette Street
Salem, MA 01970
INSURED: John & Mary MacDonald
ADDRESS: 61 Buffum St, Salem, MA 01970
LOCATION OF LOSS: 61 Buffum St, Salem,MA 01970
COMPANY: Vermont Mutual Insurance
POLICY#: HP00067339
CLAIM#: 26-101053
DATE OF LOSS: 03/09/2026
TYPE OF LOSS: Ice
Dear Sir or Madam:
Independent Claims Service is the insurance adjusting firm hired by the above referenced client to handle the
captioned loss on behalf of their insured.
A claim has been made involving loss, damage, or destruction of the above-captioned property which may
either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If
notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please bring it to our
attention, and include a reference of the captioned insured: Location, policy number, and/or date of loss.
Sincerely,
INDEPENDENT CLAIMS SERVICE,INC.
22 Water Street • Westborough, MA 01 581 • 508.366.8535 • FAX 508.366.0917 • www.icsclaims.com