118 Federal Street 5-9-19 claim RECEIVED LaMarche Associates
5 North Road, P.O. Box 250
JUL 2 3 204 Chelmsford, MA 01824
CITY OF SALEM 800-349-1525
BOARD OF HEALTH Fax: 978-256-8590
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Building Commissioner/Inspector of Buildings
Salem, MA 01970-3245
Board of Health/Board of Selectmen
Salem, MA 01970-3245
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: Diane Natalie
Loss Location: 118 Federal Street, Unit 1
Salem, MA 01970-3245
Policy Number: 2007009852
Date of Loss: 05/09/2019
Cause of Loss: Water
LA File Number: MA-2-36735
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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