12 BENGAL LANE 7-27-22 CLAIM 1100 Crown Colony Drive
JL� P.O.Box 699195
� Quincy,MA 02269-9952
A R B � L L�
617.328.2800
INSURANCE GROUP arbella.com
August 1,2022 RECEIVED
SALEM HEALTH DEPARTMENT AU G ® 5 2022
SALEM CITY HALL
93 WASHINGTON STREET CITY OF SALEM
SALEM, MA 01970 BOARD OF HEALTH
Claim Number: 034286911
Company Name: Arbella Mutual Insurance Company
Date of Loss: 07/27/2022
Insured: JOSEPH LEBLANC
Property Location: 12 BENGAL LANE#1513, SALEM, MA
To Whom It May Concern:
A claim has been made involving loss, damage, or destruction of the above captioned property,which
may either exceed$1,000 or cause Massachusetts General Laws, Chapter 143, Section 6,to be
applicable.
If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate,please direct it
to the attention of the writer. Please include a reference to the captioned insured, location, date of loss
and claim number.
Thank you for your assistance.
Best regards,
Paige Santos
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7358
Fax 617-773-4760