35 Juniper Avenue 3-10-18 claim MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108.1904
(617)723-3800 Ma Onlv(800)392-6108.FAX(800)$51-8424
4/19/2018
Form of Notice of Casualty Loss to Building
Under Mass.Gen. Laws, Ch.139,Sec.3B RECEIVED
APR 2 5 2018
SALEM HEALTH DEPT. CITY OF SALEM
SALEM CITY HALL BOARD OF HEALTH
SALEM MA 01970
Re: Insured: PAUL BARRETT AND KELLY BARRETT
Property Address: 35 JUNIPER AVE,SALEM, MA 01970
Policy Number: 1233722
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 03/10/2018
Claim Number: 428224
Claim has been made involving loss,damage or destruction of the above captioned property,which may either
exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any
notice under Massachusetts General Laws Chapter 139, Section 3B is appropriate,please direct it to the
attention of the writer and include a reference to the captioned insured,location,policy number,date of loss
and claim or file number.
MPIUA Claims Division
CMA00021