29 BRADFORD STREET 10-1-19 CLAIM RECEIVED LaMarche Associates
5 North Road, P.O. Box 250
JUN p 12021 Chelmsford, MA 01824
800-349-1525
CITY OF SALEM Fax: 978-256-8590
BOARD OF HEALTH
May 27, 2021
Building Commissioner/Inspector of Buildings
Salem, MA 01970-1503
Fire Department/Arson Squad
Salem, MA 01970-1503
Board of Health/Board of Selectmen
Salem, MA 01970-1503
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, 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: Sarah Babcock
Loss Location: 29 Bradford Street
Salem, MA 01970-1503
Policy Number: H017123307
Date of Loss: 10/01/2019
Cause of Loss: Tier 2
LA File Number: MA-2-39525
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.
Connor--Dooley
Adjuster
LaMarche Associates,Inc.-800-349-1525
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