51-53 Ocean Avenue 10-16-19 claim RECEIVED LaMarche Associates
OCT 2019 5 North Road, P.O. Box 250
Chelmsford, MA 01824
CITY OF SALEM 800-349-1525
BOARD OF HEALTH Fax: 978-256-8590
October 17, 2019
Building Commissioner/Inspector of Buildings
Salem, MA 01970-5465
Board of Health/Board of Selectmen
Salem, MA 01970-5465
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 36 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: Michael & Elizabeth Hinchion
Loss Location: 51-53 Ocean Avenue
Salem, MA 01970-5465
Policy Number: DP00011852
Date of Loss: 10/16/2019
Cause of Loss: Wind
LA File Number: MA-2-37117
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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