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91 Freedom Hollow 5-31-21 claim RECEIVED 1100 Crown Colony Drive JUN U 8 2021 P.O.Box 699195 Quincy,MA 02269-9195 ARDIELLA CITY OF SALEM .328.2800 617.328.2800 I&SuRANCE GROUP BOARD OF HEALTH arbella.com June 2,2021 SALEM HEALTH DEPARTMENT SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034185843 Policy Number: 33154400006 Company Name: Arbella Mutual Insurance Company Date of Loss: 05/31/2021 Insured: MAURA DEVEREUX Property Location: 91 FREEDOM HOLLOW, 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 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, Douglas McGuirk Claim Service Specialist Property Claim Office 800-272-3552 ext. 2454 Fax 617-773-4760