7 Maple Avenue 11-17-17 claim ARBELLA'
INSURANCE GROUP
Elaine Dupuis-Lane,Claim Manager
November 24, 2017 RECEIVED
SALEM BUILDING COMMISSIONER NOV 3 02017
SALEM CITY HALL CITY OF SALEM
93 WASHINGTON STREET BOARD OF HEALTH
SALEM, MA 01970
Claim Number: 033879997
Policy Number: 15973400005
Company Name: Arbella Mutual Insurance Company
Date of Loss: 11/17/2017
Insured: PETER STREIPS
Property Location: 7 MAPLE AVE, SALEM,NIA
To Whom It May Concern:
Claim has been made involving loss, damage, or destruction of the above captioned property,
which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6,
to be applicable.
If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate,please
direct it to the attention of the writer. Kindly include a reference to the captioned insured,
location, date of loss and claim number.
Very truly yours,
Douglas McGuirk
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2454
Fax 617-773-4760
CC: SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, NIA 01970
CC: SALEM FIRE DEPARTMENT
48 I.AP'AYF_TTF. STREET
SALEM, MA 01970
xioo Crown Colony Drive P.O.Box 699195 Quincy,MA ozz69-gxg5 telephone(800)ARBELLA www.arbellaxom