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10 Geneva Street- Claim Notice Samuel F. McCormack Co., Inc. Insurance Adjusters and Appraisers Samuel F.hkCaJmeck Co.,Inc. ADJUSTERS AND APPRAISERS May 11, 2022 Salem City Hall Building Inspector 93 Washington Street Salem. MA 01970 RE ASSURED: Loretta Aurigemma LOSS LOCATION: 10 Geneva St, Salem, MA 01970 POLICY NO: HP00014459 TYPE OF LOSS: Smoke DATE OF LOSS: 05/09/2022 OUR FILE NO: 22-01271 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 3B 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, A�ze�K� Peter Venie Adjuster pv@mccormackadjuster.com cc: Board of Health Fire Department 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 www.mccormackadjuster.com