10.5 Langdon Street 9-1-18 claim Samuel F. McCormack Co. Inc.
Insurance Adjusters and Appraisers
Samuel F.McCormack Co.,Inc.
ADJUSTERS AND APPRAISERS
RECEIVE®
June 11, 2021
JUN 17 2021
Salem City Hall CITY OF SALEM
Building Inspector BOARD OF HEALTH
93 Washington Street
Salem. MA 01970
RE ASSURED: David Blatt
LOSS LOCATION: 10 1/2 Langdon St, Salem, MA 01970
POLICY NO: DF13083636
TYPE OF LOSS: Sewage
DATE OF LOSS: 09/01/2018
OUR FILE NO: 21-01448
To Whom It May Concern:
Claim has been made involving loss, damage or destruction of the above-captioned property,which
may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to
be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 313 is
appropriate, please direct it to the attention of this writer and include a reference to the above-
captioned insured, location, policy number, date of loss and claim or file number.
Thank you for your anticipated cooperation.
Very truly yours,
Edward Bennett
Adjuster
efb@mccormackadjuster.com
cc: Board of Health
98 Washington St,
Salem, MA 01970
cc: Salem Fire Dept
48 Lafayette Street
Salem, MA 01970
42 Holbrook Avenue,Braintree,MA 021841-800-972-5399(781)843-1222 Fax(781)849-8191
125 Waterhouse Road,Bourne,MA 02532(508)403-2600 Fax(508)403-2602
www.mcconnackadjuster.com