9 Pyburn Avenue 7-12-18 claim RECEIVED
ECVEI 9ED 1100 Crown Colony Drive
fl dJ P.O.Box 699195
Quincy,MA 02269-9195
,,,�,� � � j, L�8 AUG 2 0 201$ 617.328.2800
INSURANCE GROUP arbella.com
CITY OF SALEM
BOARD OF HF-;J I t
August 15, 2018
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 033955081
Policy Number: 33314400005
Company Name: Arbella Mutual Insurance Company
Date of Lass: 07/12/2018
Insured: THOMAS CRABTREE
Property Location: 9 PYBURN AVE, SALEM,MA
To Whom It May Concern:
A 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 313 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