15 Lynde Street, Unit 1 4-14-20 claim RECEIVED LaMarche Associates
5 North Road, P.O. Box 250
APR 2 8 2020 Chelmsford, MA 01824
800-349-1525
CITY OF SALEM Fax: 978-256-8590
BOARD OF HEALTH
April 22, 2020
Building Commissioner/Inspector of Buildings
Salem, MA 01970-3423
Board of Health/Board of Selectmen
Salem, MA 01970-3423
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: Nikollaq & Ergjente Mino
Loss Location: 15 Lynde Street, Unit 1
Salem, MA 01970-3423
Policy Number: HO12422510
Date of Loss: 04/14/2020
Cause of Loss: Water
LA File Number: MA-2-37859
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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