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7 ORANGE STREET - NOTICE LOSS Samuel F. McCormack Co. Inc. Insurance Adjusters and Appraisers Samuel F.McCDlmack Co.,Inc. ADJUSTERS AND APPRAISERS May 18, 2021 Salem City Hall Building Inspector 93 Washington Street Salem. MA 01970 RE ASSURED: Scott Perry LOSS LOCATION: 7 Orange St , Salem, MA 01970 POLICY NO: BOP0160873 TYPE OF LOSS: Vandalism DATE OF LOSS: 11/20/2020 OUR FILE NO: 21-01251 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 36 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 53 efb@mccormackadjuster.com MAY I � FMB° cc: Board of Health 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.mccormackadjuster.com