8 ELM AVENUE - CLAIM NOTICE ® The Commerce Insurance Companys
MAPFRE Citation Insurance Companyw
11 Gore Road,Webster,Massachusetts 01570
INSURANCE' 508.949.1500 1 www.mapf rei nsura nce.com
March 27, 2022
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: MABELYN LOPEZ
Property Address: 8 ELM AVE
Policy#: BGWWMB
Date of Loss: 10/08/2019
File#: VCNC93-TCMTR8
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.
MICHAEL MAESTAZ Telephone: (508)949-1500 Ext: 15723
CLAIM REP II, PROPERTY Toll Free: 1-800-221-1605, Ext: 15723
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.
March 27, 2022
APR 1„M sO:24
CIC 254 (Rev.4/95) MAIL MM7