11 CHURCH STREET, #110 12-15-18 CLAIM RECEIVED
LaMarche Associates
Nov 2 7 2019 5 North Road, P.O. Box 250
CITY OF SALEM Chelmsford, MA 01824
BOARD OF HEALTH 800-349-1525
Fax: 978-256-8590
November 22, 2019
Building Commissioner/Inspector of Buildings
Salem, MA 01970
Board of Health/Board of Selectmen
Salem, MA 01970
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: The Essex Condominium
Loss Location: 11 Church Street, Unit 110
Salem, MA 01970
Policy Number: 612OM 13421
Date of Loss: 12/15/2018
Cause of Loss: Water
LA File Number: MA-2-37332
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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