38 JAPONICA STREET 5-4-22 CLAIM „ 1100 Crown Colony Drive
P.O.Box 699195
Quincy,MA 02269-9952
ARBELLA617.328.2800
INSURANCE GROUP arbella.com
May 5, 2022
SALEM HEALTH DEPARTMENT �022
SALEM CITY HALL MAY 0
93 WASHINGTON STREET G1TY OF SALEM
SALEM, MA 01970 SOARD OF HEALTH
Claim Number: 034265787
Company Name: Arbella Mutual Insurance Company
Date of Loss: 05/04/2022
Insured: BRIAN CARR
Property Location: 38 JAPONICA ST, SALEM, MA
To Whom It May Concern:
A claim has been made involving loss, damage, or destruction of the above captioned property, which
may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be
applicable.
If any notice under Massachusetts General Law, Chapter 139, Section 313 is appropriate,please direct it
to the attention of the writer. Please include a reference to the captioned insured, location, date of loss
and claim number.
Thank you for your assistance.
Best regards,
Douglas McGuirk
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2454
Fax 617-773-4760