20 KOSCIUSKO STREET 1-16-22 CLAIM-CROMWELL Homeowner Operations Field Claim Office
P.O. Box 6040 CC
Scranton,PA 18505 �EC E I V C
'►� FARfER
FEB 142022 INSURANCE
CITY OF SALEM
BOARD OF HEALTH
February 8, 2022
Salem Board of Health
98 Washington Street
Salem, MA 01970
Our Customer: Anne C. Cromwell
Claim Number: JDK21795 AR
Date of Loss: January 16, 2022
Dear Salem Board of Health:
Pursuant to M.G.L. 139 § 3B,please be advised that a property loss at the address referenced below has
been estimated to have caused damage to the dwelling or other structures that will exceed one thousand —_
dollars. Please let us know within ten(10) days if there is a pending or existing lien against the property
as provided by M.G.L. 139 § 3B, or if there is an intent to initiate proceedings to perfect such a lien.
Loss Location: 20 Kosciusko St, Salem, MA
Sincerely,
Anthony Grasso - FLD
Farmers Property and Casualty Insurance Company =_
Senior Claim Adjuster
(978) 914-3323 Ext. .
Fax: (866) 404-8179
Email: anthony.grasso@farmersinsurance.com
MPL MA-REGDEPT Printed in U.S.A 0921