6 CHARLOTTE STREET 2-19-18 CLAIM P.O.
2pt8 Quincy,MA 02269-9195
APR 2 3 61a be18a.com
L L A00
AS OF SEAM H
gppRD OF H
INSURANCE GROUP
April 17,2018
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
93 WASHINGTO STREET
SALEM,MA
Number: 033904081
policcyy Number:Claim14078400002
policy
Company Name* Arbella Mutual Insurance Company
02i 19i20 i 8
Date of Loss: ERIK MANNINEN
Insured: 6 CHARLOTTE ST, SALEM,MA
Property Location: �
i
Concern: caption ion
property, which
To Whom It May Section 6,to be
A claim has been made involving
loss,damage,or destruction of the above
may either exceed$1,000 or cause Massachusetts General Laws, Chap lease direct it
applicable. Chapter 139, Section 3B is appropriate,p
If any notice under Massachusetts General Law,
captioned insured,location,date of loss
to the attention o the writer.Please include a reference to the
and claim number.
Thank you for your assistance.
Sincerely,
Sarah Monaco Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7323
Fax 617-773-4760
CC: SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM,MA 01970
CC:SA 48 LEM FIE LAFAYETTDEESTREE ENT
SALEM,MA 01970