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81 insurance loss 2017 ARBELLA INS J R 4N,;E GROUa Elaine Dupuis-Lane,Claim Manager June 29, 2017 NORTHAMPTON BUILDING COMMISSIONER CITY GOVERNMENT OFFICE 212 MAIN STREET #100 NORTHAMPTON, MA 01060 Claim Number: 033840015 Policy Number: 66962400005 Company Name: Arbella Mutual Insurance Company Date of Loss: 06/27/2017 Insured: PAMELA POWERS Property Location: 81 N MAPLE ST,FLORENCE, MA To Whom It May Concern: 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. Kindly include a reference to the captioned insured, location, date of loss and claim number. Very truly yours, Marc Lindell Claim Service Specialist Property Claim Office 800-272-3552 ext. 6867 Fax 617-773-4760 CC:NORTHAMPTON HEALTH DEPARTMENT CITY GOVERNMENT OFFICE 212 MAIN STREET#101 NORTHAMPTON,MA 01060 CC:NORTHAMPTON FIRE DEPARTMENT CITY HALL 210 MAIN STREET NORTHAMPTON,MA 01060 iioo Crown Colony Drive P.O.Box 699195 Quincy,MA 02269-9195 telepbone(800)ARBELLA www.arbella.com 00:01 Si' `AVL Lass )140\1