374 Essex Street 8-20-18 claim RECEIVED LaMarche Associates
OCT 15 2018 5 North Road, P.O. Box 250
Chelmsford, MA 01824
CITY OF SALEM 800-349-1525
BOARD OF HEALTH Fax: 978-256-8590
October 9, 2018
Building Commissioner/Inspector of Buildings
Salem, MA 01970-3255
Board of Health/Board of Selectmen
Salem, MA 01970-3255
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: Emma Hamilton &James Sullivan
Loss Location: 374 Essex Street
Salem, MA 01970-3255
Policy Number: H012367194
Date of Loss: 08/20/2018
Cause of Loss: Water
LA File Number: MA-2-35578
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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