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242 Loring Avenue 3-3-18 claim RECEIVED 1100 Crown Colony Drive MAP, 2 6 201$ P.O. Box 699103 Quincy,MA 02269-9103 A R B E L L A 617.328.2800 O BOARD OF HEALTH INSURANCE GROUP CITY SALEM arbella.com March 19, 2018 SALEM BUILDING COMMISSIONER SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 033910242 Policy Number: 34054400002 Company Name: Arbella Mutual Insurance Company Date of Loss: 03/03/2018 Insured: ARTHUR FRANCIS Property Location: 242 LORING AVE, SALEM, MA i 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 i applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate,please direct it j 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, Chad Cobb Claim Service Specialist Property Claim Office 800-272-3552 ext. 2182 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