13 Old Village Drive 3-4-18 claim LaMarche Associates
5 North Road, P.O. Box 250
Chelmsford, MA 01824
800-349-1525
Fax: 978-256-8590
March 6, 2018
Building Commissioner/Inspector of Buildings RECEIVED
SALEM, MA 01970 MAP, 2 6
2013
Board of Health/Board of Selectmen CITY OF SALEM
SALEM, MA 01970 BOARD OF HEALTH
NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 36
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 313 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: HIGHLAND CONDOMINIUM AT SALEM TRUST
Loss Location: 13 OLD VILLAGE DRIVE
SALEM, MA 01970
Policy Number: 8120D34263
Date of Loss: 03/04/2018
Cause of Loss: Water
LA File Number: MA-2-34483
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 Pssoaates Inc-900-349-1525
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