14 Beach Avenue- Claim Notice *` United Services Automobile Association NOTICE OF PROPERTY
is
USA,4441 `A►® DAMAGE TO
O 1% SP 4968 - 01-P0019041 -01771-554149682123 STRUCTURES
BUILDING COMMISSIONER
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970-3527
May 4, 2022
To Whom It May Concern,
This correspondence serves as notice to the Building Commissioner that the following claim has been reported:
USAA policyholder: David W'Broughton'
Claim number: 012082851-008
Date of toss: April 20,2022
Property address: 14 Beach Ave
Loss location: Salem, Massachusetts
You may direct any notice of intent to perfect a lien against the insurance proceeds within 10 days of the date on this
letter using the following contact information. Please include the claim number on all correspondence.
Address: USAA Claims Department
P.O. Box 33490
San Antonio, TX 78265
_ Fax: 1-800-531-8669
Sincerely,
Adrian J Arrington
Property Field Unit
United Services Automobile Association
MAY 1 0
.iY
012082851-DM-01771-008-0001-01 130872-1121
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