32 AURORA LANE - CLAIM NOTICE Claims Department 75 Sam Fonzo Drive I Beverly Massachusetts 01915
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800.227.2757 1 Electriclnsurance.com
June 11, 2021
Building Commissioner or
Inspector of Buildings
98 Washington St
Salem, MA 01970
RE: Insured: JAMES DELUCA
Claim Number: 20210611A14
Policy Number: H100005101
Date of Loss: April 10, 2021
Property Address: 32 AURORA LN SALEM, MA 01970-6801
Form of Notice of Casualty Loss to Building
Under Massachusetts General Laws Chapter 139, Sec. 3B
Claim has been made involving loss, damage or destruction to the above-captioned property, which may
equal or 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 to
the attention of the undersigned and include a reference to the captioned insured, location, policy
number, date of loss and claim or file number.
On June 11, 2021 copies of this notice were sent by first class mail to the entities and addresses noted
herein.
Sincerely,
Vwwd"6 d
Brendan Collins
Claims Specialist
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