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04664. 23P2Z.JSS1138990824. 01 . 01 . 40 9
By
CITY OF SALEM October 29, 2015
SALEM CITY HALL
93 WASHINGTON ST.
SALEM,MA 01970-3527
Reference: Massachusetts General Laws, Chapter 139, Section 3B
Attention Building Commissioner,
I am writing regarding the claim referenced below.
Policyholder: Michael G Galiatsatos
Reference #: 030000169-14
Date of loss: September 6, 2015
Location of loss: Salem, Massachusetts
Address: 5 Ames St. Salem, Essex, MA, 01970-2609
A claim has been made involving loss, damage or destruction of the property referenced above,
which may either exceed $1000.00 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 my attention and include the reference #.
You may submit correspondence or questions to me. MV contact information is:
Address: P.O. BOX 659468
SAN ANTONIO, TEXAS 78265
Fax: 1-800-531-8669
Phone: 1-800-531-8722 Ext: 42576
Sincerely,
Lisa R Roberts
Property - TFL Unit 14
USAA Casualty Insurance Company
PO Box 33490
San Antonio, TX 78265
Phone: 1-800-531-8722 Ext: 42576
Fax: 1-800-531-8669
REM/LRR
030000169 - DM-04664- 14- 4528 - 06 54577-0715
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