17 Indian Hill Lane 6-1-20 claim 1100 Crown Colony Drive
P.O.Box 699195
�� Quincy,MA 02269-9195
ARBELL617.328.2800
INSURANCE GROUP arbella.com
RECEIVE[
June 16, 2020
J U N 2 2 2020
SALEM HEALTH DEPARTMENT CITY OF SALEM
SALEM CITY HALL BOARD OF HEALTH
93 WASHINGTON STREET
SALEM,MA 01970
Claim Number: 034114228
Policy Number: 09192400006
Company Name: Arbella Mutual Insurance Company
Date of Loss: 06/01/2020
Insured: KIMBERLY POUSSARD
Property Location: 17 INDIAN HILL LN, 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,
Cynthia Holden-Amor
Claim Service Specialist
Property Claim Office
800-272-3552 ext.7549
Fax 617-773-4760