278 Derby Street 10-31-19 claim RECEIVED
DEC 0 9 2019 LaMarche Associates
CITY OF SALEM 5 North Road, P.O. Box 250
BOARD OF HEALTH Chelmsford, MA 01824
800-349-1525
Fax: 978-256-8590
December 5, 2019
Building Commissioner/Inspector of Buildings
Salem, MA 01971
Board of Health/Board of Selectmen
Salem, MA 01971
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 313 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: Slesar Bros. Brewing Company, Inc.
Loss Location: 278 Derby Street, dab: Salem Beer Works
Salem, MA 01971
Policy Number: 812OT62859
Date of Loss: 10/31/2019
Cause of Loss: Theft
LA File Number: MA-2-37367
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 Assoclates,Inc.-800-349-1525
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