237 North Street 12-19-18 claim NW LaMarche Associates
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DEC 2:6 2018 800-349-1525
Fax: 978-256-8590
CITY OF SALEM
BOARD OF HEALTH December 19, 2018
Building Commissioner/Inspector of Buildings
Salem, MA 01970-1637
Board of Health/Board of Selectmen
Salem, MA 01970-1637
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: Alanna & Michael Forrelli
Loss Location: 237 North Street
Salem, MA 01970-1637
Policy Number: HO12389437
Date of Loss: 12/19/2018
Cause of Loss: Water
LA File Number: MA-2-35865
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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