4 Lowell Street 3-2-18 claim 1100 Crown Colony Drive
y-i P.O.Box 699103
Quincy,MA 02269-9103
617.328.2800
A R B E L L A arbella.com
INSURANCE GROUP
RECEIVED
March 14, 2018 MAR 19 2018
SALEM BUILDING COMMISSIONER CITY OF SALEM
SALEM CITY HALL BOARD OF HEALTH
93 WASHINGTON STREET
SALEM,MA 01970
Claim Number: 033909868
Policy Number: 14195400005
Company Name: A ella Mutual
Insurance Company
Date of Loss:
Insured: ROSEMARY BANE BOGAN
Property Location: 4 LOWELL ST, SALEM, MA
To Whom It May Concern:
ion of the above captioned property,
claim has been made
exceed$1,000 oorlcause Massachusetts Genage, or eraltLaws, Chapter 143, Section 6,t which
o be
may
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.
Sincerely,
Tracy Violette
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2178
Fax 617-773-4760
CC: SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM,MA 01970
CC: SALEM FIRE DEPARTMENT
48 LAFAYETTE STREET
SALEM, MA 01970