24 SHILLABER STREET - CLAIM NOTICE ® The Commerce Insurance Company°
MAPFRE Citation Insurance Company"
11 Gore Road,Webster,Massachusetts 01570
INSURANCE 508.949.1500jwww.mapfreinsurance.com
June 16, 2021
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
SALEM MA 01970
RE: Our Insured: JASON HARVEY/LIZAIDA HARVEY
Property Address: 24-SHILLABER ST
Policyk BHKBXY
Date of Loss: 06/02/2021
Filek TYXA48-RYVAW9
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable.
If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate,
please direct it to my attention. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
LAURA LEBLANC Telephone: (508)949-1500 Ext: 15995
CLAIM REP, CAT RESPONSE Toll Free: 1-800-221-1605,Ext:15995
On this date, I cause copies of this notice to be sent to the persons indicated above, at the
address above,by first class mail.
June 16, 2021
JUN 18 PM12:11
JUN
CIC 254 (Rev.4/95) MAIL 024