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65 WHARF STREET 12-12-21 CLAIM Homeowner Operations Field Claim Office P.O.Box 6040 Scranton,PA 18505 RECEIVED JOMN, F A R rVi i_ a DEC 222021 INSURANCE CITY OF SALEM December 16, 2021 BOARD OF HEALTH Salem Board of Health 120 Washington Street, 4th Floor Salem, MA 01970 Our Customer: Albert A. Moore Claim Number: JDK14980 GE Date of Loss: December 12, 2021 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: 65 Wharf St Unit 3, Salem, MA Sincerely, Kris Zimmerman Farmers Property and Casualty Insurance Company Claim Adjuster —_ (800) 854-6011 Ext. 7281 Fax: (877) 903-5173 Email: kristi.zmmerman@farmersinsurance.com MPL MA-REGDEPT Printed in U.S.A 0921