425 Insurance Loss 2020LaMarche Associates
1482 North Main Street, P.O. Box 840
Palmer, MA 01069
800-222-0143
Fax: 413-289-1249
January 19, 2021
Building Commissioner/Inspector of Buildings
Leeds, MA
Board of Health/Board of Selectmen
Leeds, MA
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:
Gordon H. Mansfield Veterans
Loss Location:
425 North Main Street Rear
Leeds, MA
Policy Number:
Date of Loss:
01/11/2021
Cause of Loss:
Physical Damage
LA File Number: MA -1-28346
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.
Ian Young
Adjuster
LaMarche Associates, Inc. - 800-222-0143
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