25 Pickham Street - Claim Notice 030222 Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
Samuel F.Womack Ca.,Inc.
ARJRRTERR AND APPMIRERR
March 2, 2022
Salem City Hall
Building Inspector
93 Washington Street
Salem. MA 01970
RE ASSURED: Donald & Patricia Lemire
LOSS LOCATION: 25 Pickman Street, Salem, MA 01970
POLICY NO: HO12334330
TYPE OF LOSS: Ice dam
DATE OF LOSS: 03/02/2022
OUR FILE NO: 22-00701
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,
;
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Edward Bennett
Adjuster
efb@mccormackadjuster.com
cc: Board of Health
Fire Department
MAR 7 _m4:09
X PIR
42 Holbrook Avenue, Braintree,MA 02184 1-800-972-5399(781)843-1222 Fax(781)849-8191
125 Waterhouse Road Bourne,MA 02532(508)403-2600 Fax(508)403-2602
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