50 (WWII Club) Loss to Building 2016 LaMarche Associates
1482 North Main Street, P.O. Box 840
Palmer, MA 01069
800-222-0143
Fax: 413-289-1249
January 8, 2016
Building Commissioner/Inspector of Buildings
Northampton, MA 01060
Board of Health/Board of Selectmen
Northampton, MA 01060
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: World War II Veterans Club
Loss Location: 50 Conz Street
Northampton, MA 01060
Policy Number: CS0257128801
Date of Loss: 01/06/2016
Cause of Loss: Water
LA File Number: MA-1-25392
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.
Bryan Thomas
Adjuster
La Marene Associates.Inc.- 227-010
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