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32 Insurance Loss LaMarche Associates 1482 North Main Street, P.O. Box 840 Palmer, MA 01069 800-222-0143 Fax: 413-289-1249 November 29, 2018 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: Robin Freedenfeld and Mark D Immerman Revocable Trust Loss Location: 32 Masonic Street Northampton, MA 01.060 Policy Number: CPP000419 Date of Loss: 11/29/2018 Cause of Loss: Fire LA File Number: MA-1-26933 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. John Murray Adjuster Lamarche 0-222-0143