6A Nimitz Way 7-31-20 claim RECEIVED LaMarche Associates
5 North Road, P.O. Box 250
Chelmsford, MA 01824
AUG 2 0 2020 800-349-1525
CITY OF SALEM Fax: 978-256-8590
BOARD OF HEALTH
August 17, 2020
Building Commissioner/Inspector of Buildings
Salem, MA 01970-2748
Board of Health/Board of Selectmen
Salem, MA 01970-2748
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: Robert Hemingway
Loss Location: 6A Nimitz Way
Salem, MA 01970-2748
Policy Number: HO12440749
Date of Loss: 07/31/2020
Cause of Loss: Water
LA File Number: MA-2-38329
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.
Kevin Gabbett
Adjuster
LaMarche Associates,Inc.-800-349-1525
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