35 Ravenna Avenue- Claim Notice 0636
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SALEM CITY HALL
93 WASHIRGTON ST STE 1
SALEM MA 019703530
April 21.2022
INSURED: BARRY LENTNEK PHONE NUMBER: 800-729-6400
DATE OF LOSS: April 08,2022 FAX NUMBER: 866-447-4293
CLAIM NUMBER: 0665437497 HRB OFFICE HOURS: Mon - Fri 8:00 am - 530 pm,
PROPERTY ADDRESS: 35 RAVENNA AVE. SALEM,MA Sat 8:00 am -4:00 pm
POLICY NO.: 000984340153
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws.Ch, 139.Sce.3B
TO:
Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
CITY/TOWN HALL: SALEM CITY HALL
ADDRESS: 93 WASHINGTON ST
CITY/TOWN/ZIPCODE: SALEM. MA 01970
Claim has been made involving loss,damage or destruction of the above-captioned property which may either exceed
$1,000.00 or cause Mass.Gen. Laws,Chapter 143 Section 6 to be applicable. If any notice under Mass.Gen.
Laws,Chapter 139,Section 3B is appropriate, please direct it to the attention of the undersigned and include a
reference to the captioned insured, location, policy number, date of loss and claim number.
On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by
first class mail.
SIGNATURE AND DATE
RONALD BADCHKAM
April 21,2022
Copy : BARRY LENTNEK
Apt
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