255 LAFAYETTE STREET 10-26-22 CLAIM Homeowner Operations Field Claim Office
P.O.Box 6040 _
Scranton,PA 18505 R LC E I V E D
� FARMERS
OCT 31 2022 INS�JRA1~!OE
CITY OF SALEM
BOARD OF HEALTH
October 28, 2022
Salem Board of Health
98 Washington Street
Salem, MA 01970
Our Customer: Susan Atkins
Claim Number: JDK64709 AK
Date of Loss: October 26, 2022
Dear Salem Board of Health:
Pursuant to M.G.L. 139 § 3B,please be advised that a property loss at the address referenced below has
been estimated to have caused damage to the dwelling or other structures that will exceed one thousand
dollars. Please let us know within ten(10) days if there is a pending or existing lien against the property
as provided by M.G.L. 139 § 3B, or if there is an intent to initiate proceedings to perfect such a lien.
Loss Location: 255 Lafayette St Apt 5, Salem, MA
Sincerely,
Chris Popielski - FLD _
Farmers Property and Casualty Insurance Company
Claim Adjuster
(978) 844-1108 =_
Fax: (866) 947-0184 -_
Email: chris.popielski@farmersinsurance.com
MPL MA-REGDEPT
Proprietary Printed in U.S.A 0921