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9 CLEVELAND ROAD 10-26-22 CLAIM RECEIVED 1100 Crown Colony Drive P.O. Box 699195 NOV Q 7 2022 Quincy, MA 02269-9952 617.328.2800 INSURANCE Gr#OUP CITY OF SALEM arbella.com BOARD OF HEALTH November 1, 2022 SALEM HEALTH DEPARTMENT SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034310050 Company Name: Arbella Mutual Insurance Company Date of Loss: 10/26/2022 Insured: VASILIOS TSIMOUNIS Property Location: 9 CLEVELAND RD, 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 313 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, Sarah Monaco Claim Service Specialist Property Claim Office 800-272-3552 ext. 7323 Fax 617-773-4760