436 Lafayette Street 7-21-20 claim RECEIVED LaMarche Associates
5 North Road, P.O. Box 250
JUL 312020 Chelmsford, MA 01824
800-349-1525
CITY OF SALEM Fax: 978-256-8590
BOARD OF HEALTH
July 24, 2020
Building Commissioner/Inspector of Buildings
Salem, MA 01970-5339
Board of Health/Board of Selectmen
Salem, MA 01970-5339
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: Maureen O'Hare Mercer
Loss Location: 436 Lafayette Street
Salem, MA 01970-5339
Policy Number: H012359120
Date of Loss: 07/21/2020
Cause of Loss: Water
LA File Number: MA-2-38204
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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