PROPERTY DAMAGE STRUCTURE NOTICE 11/4/2021 United Services Automobile Association NOTICE OF PROPERTY
ys" DAMAGE TO
KLiti:.Li 0000010 SP 4716 -001-P00010-11 -01771-554747161123
STRUCTURES
I
BUILDING COMMISSIONER OF SALEM
93 WASHINGTON STREET
SALEM, MA 01970-3527
Review Notice of Property Damage to Structures
October 27,2021
Dear Sir or Madam,
This correspondence serves as notice to the Building Commissioner that the following claim has been reported:
USAA policyholder: Donald C Richard
Claim number: 012602220-025
Date of loss: October 27,2021
Property°address: 47 MEMORIAL DR
Loss location: Salem, Massachusetts
You may direct any notice of intent to perfect a lien against the insurance proceeds within 10 days of the date on this
letter using the contact information listed below. Please include the claim number above on all correspondence.
Address: USAA Claims Department
P.O. Box 33490
San Antonio, TX 78265
Fax: 1-800-531-8669
Sincerely,
C
Krystal Cadena
Property -TFL Unit 6
United Services Automobile Association
NOV 4
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012602220-DM-01771-025-8043-12 130872-0318
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