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15 Insurance Loss MetLife Auto&Homee Homeowner Operations Field Claim Office Attention:Claims P.O. Box 6040 Scranton. PA 18505 (800)854-6011 MetLife December 28, 2018 Northampton Board of Health City Hall 210 Main Street Northampton, MA 01060 Our Customer: Sam H. Anderson Claim Number: JD106477 BY Date of Loss: December 13, 2018 Dear Northampton 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: 15 Hawley St Apt 303,Northampton, MA Sincerely, Brian Wombacher Metropolitan Property and Casualty Insurance Company Senior Claim Adjuster (800) 854-6011 Ext. 7351 Fax: (866) 283-0480 Email: bwombacher@metlife.com MetLife Auto 8 Home is a brand of Metropolitan Property and Casualty Insurance Company and its affiliates,Warwick,RI. Pnnted in U.S.A 0898 MPL MA-PERCEPT