2 Larkin Lane 10-16-19 claim RECEIVED
LaMarche Associates
DEC 0 9 2019 5 North Road, P.O. Box 250
CITY OF SALEM
Chelmsford, MA 01824
800-349-1525
BOARD OF HEALTH Fax: 978-256-8590
December 3, 2019
Building Commissioner/Inspector of Buildings
Salem, MA 01970-5624
Board of Health/Board of Selectmen
Salem, MA 01970-5624
NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSACHUSETTS 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, Charter
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: Lorenzo & Christine Hill
Loss Location: 2 Larkin Lane
Salem, MA 01970-5624
Policy Number: HO12076895
Date of Loss: 10/16/2019
Cause of Loss: Tier 2
LA File Number: MA-2-37353 .
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.
Brian Aspell
Adjuster
LaMarche Associates,Inc.-800-349-1525
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