15 Walter Street 4-1-19 claim LaMarche Associates
RECEIVED 5 North Road, P.O. Box 250
Chelmsford, MA 01824
JUL 292019 800-349-1525
Fax: 978-256-8590
CITY OF SALEM
BOARD OF HEALTH July 22, 2019
Building Commissioner/Inspector of Buildings
Salem, MA 01970-2525
Board of Health/Board of Selectmen
Salem, MA 01970-2525
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: James Biggie
Loss Location: 15 Walter Street
Salem, MA 01970-2525
Policy Number: H012396073
Date of Loss: 04/01/2019
Cause of Loss: Mold Damage
LA File Number: MA-2-36760
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.
John Anderson
Adjuster
LaMarche Associates,Inc.-800-349-1525
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