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184 North Street 10-16-19 claim As RECEIVED 1100 Crown Colony Drive P.O.Box 699195 A R B E L L A OCT 2 420 Quincy,MA 02269-9195 617.328.2800 INSURANCE GROUP CITY OF SALEM arbella.com SDARn of HEALTH October 22, 2019 SALEM BUILDING COMMISSIONER SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034065119 Policy Number: 38177400005 Company Name: Arbella Mutual Insurance Company Date of Loss: 10/16/2019 Insured: CRAIG SAVOIE Property Location: 184 NORTH STREET, 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, Karen Kimball Claim Service Specialist Property Claim Office 800-272-3552 ext. 7398 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