30 BEAVER STREET - BUILDING JACKET 3o
® MAPFRE The Commerce Insurance Companys
Citation Insurance Companyw
11 Gore Road,Webster,Massachusetts 01570
Commerce
r x s u R a x c e- 508.949.15001 www.commerceinsurance.com
April 17, 2015
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
SALEM MA 01970
RE: Our Insured: FELIX CANELA/ANA MESA
Property Address: 30 BEAVER ST
Policyk YV6661
Date of Loss: 02/20/2015
Filek JXWH34-HPNCR7
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, 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. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
LISA LEAHY Telephone: (508)949-1500 Ext: 15846
Sr Claim Representative,Property Toll Free: 1-800-221-1605, Ext:15846
On this date, I cause copies of this notice to be sent to the persons indicated above, at the
address above,by first class mail.
April 17, 2015
INTERIOR WATER DAMAGE DUE TO FROZEN/BURST PIPE
T.,.
CIC 254 (Rev.4/95) MAIL 789