INS LOSS LTR - WIND, 10/15/2019 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(6171 723-3800 Ma Only(800)392-6108, FAX(8001 851-8424
10/18/2019
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139,Sec.3B
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
SALEM MA 01970
Re: Insured: PAUL LHEUREUX AND DENISE LHEUREUX
Property Address: 24-26 LAFAYETTE PLACE, SALEM, MA 01970
Policy Number: 1287222
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 10/15/2019
Claim Number: 443093
Claim has been made involving loss, damage or destruction of the above captioned property,which may either
exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any
notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the
attention of the writer and include a reference to the captioned insured,location, policy number,date of loss
and claim or file number.
MPIUA Claims Division
CMA00021