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INS CLAIM LTR (004) 1100 Crown Colony Drive P.O. Box 699103 A R B E L L A Quincy, MA 02269-9103 617.328.2800 INSURANCE GROUP arbella.com February 28, 2018 SALEM BUILDING COMMISSIONER SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 033905874 Policy Number: 92707400005 Company Name: Arbella Mutual Insurance Company 'gate of Loss: 01!05!2018 Insured: MARY LOU MCLAUGHLIN Property Location: 5 ROSLYN STREET#1, 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 3B 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. Sincerely, Emily Migre Claim Service Specialist Property Claim Office 800-272-3552 ext. 7369 Fax 617-773-4760 CC: SALEM HEALTH DEPARTMENT SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 CC: SALEM FIRE DEPARTMENT 48 LAFAYETTE STREET SALEM, MA 01970