3A Halsey Way 11-4-20 (2) RECEIVED LaMarche Associates
5 North Road, P.O. Box 250
NOV 0 9 2020 Chelmsford, MA 01824
800-349-1525
CITY OF SALEM Fax: 978-256-8590
BOARD OF HEALTH
November 4, 2020
Building Commissioner/Inspector of Buildings
Salem, MA 01970
Board of Health/Board of Selectmen
Salem, MA 01970
NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSACHUSET'S GENERAL LAWS, CHAPTER 139, SECTION 3B
Claim has been made involving loss, damage or destruction of the property captioned
below, which may either exceed $1,000.00 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, cause of loss and
LA file number.
Insured: Pickman Park Condo. Trust
Loss Location: 3A Halsey Way
Salem, MA 01970
Policy Number: 1120D34260
Date of Loss: 11/04/2020
Cause of Loss: Water
LA File Number: MA-2-38728
On this date, I caused copies of this notice to be sent to the persons named above at the
addresses indicated above by first class mail.
Kris Kirkpatrick
Adjuster
LaMarche Associates,Inc.-800-349-1525
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