25 LINDEN STREET - BUILDING INSPECTION T 1�25 LINDEN STREET '
i
NO. 7521/3
ESSELTE 10%
—Adjusters' Collaborative, Inc.
P.O. Sox 297, Wakefield, MA 09990
791-245-5962 • 799-224-1933
FAX 791-2 5-6099
TO: BU DING COMMISSIONER OR BOARD p HEI' pR FIRE z TMENT OR
NSPECTOR OF BUILDINGS BOARD F SE1(E TMEN ARSON SQUAD
City of Salem
City Hall , Salem MA -
RE: INSURED: James 8 Julie Rose
PROPERTY ADDRESS: 25 Linden St Salem MA - --
POLICY NO: HP 1719897
LOSS OF: July 15. 2000 TYPE OF LOSS Storm Damage
FILE OR CLAIM NO. :
Claimhas been made involving loss, damage or destruction of the above-captioned property,
which may either exceed $1 ;OOO.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be
applicable; if any notice. under Mass. Gen. laws, Ch. 139, Sec. 38 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.
On this date, I caused copies of this notice to be sent to the persons named above at
addresses indicated above via first class mail .
Mass. House Bill 3923, effective October 23, 1986, requires adjusters or insurers to
notify the Fire Dept. or Arson Squad of the city or town in which a loss of $1 ,000.00
or more is sustained to a building.
Robert C. Gonnam
Adjuster
Cambridge Mutual Fire Ins. Co-',
Company
8/3/00
Date
�,---Adjusters' Collaborative, Inc.
1
27 Water Street Rear•Wakefield, MA O9 860
CSXXtg PX 245-5662/6296•FAX C�B 245-SOSS
I
T0: BUILDING COMMISSIONER OR BOARD HEALTH OR FIRE DEPLTMENT OR
INSPECTOR OF BUILDINGS BOARD SELECTMEN ARSON SQ
CITY OF SALEM
CITY HALL, SALEM, MA 01970
RE: INSURED: JULIE ROSE
PROPERTY ADDRESS: 25 LINDEN ST. , SALEM, MA
POLICY NO: HP 1719897 - Cambridge Mutual
LOSS OF: June 13, 1998 TYPE OF LOSS: Storm Damage
FILE OR CLAIM NO.-
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, Ch. 139, Sec. 38 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.
On this date, I caused copies of this notice to be sent to the persons named above at the
addresses indicated above via first class mail.
Mass. House Bill 3923, effective October 23, 1986, requires adjusters or insurers to
notify the Fire Dept. or Arson Squad of the city or town in which a loss of $1 ,000.00
or more is sustained to a building.
Ronald D. Michelini
Adjuster
CAMBRIDGE MUTUAL FIRE INS. CO.
Company
JUNE 26, 1998
Date