32C-230 (10) APEX CLAIMS SERVICE
125 North Elm Street
Westfield, MA 01085
Ph: 413 562 7502 Fax: 413 562 7506
Massachusetts General Laws, Chapter 139 Letter
Date: 6/21/2006 Z3
Building Commissioner/Inspector of Buildings
Board of Health/Board of Selectmen
210 Main Street
Northampton, MA 01060
RE: Insured: Alan &Paula Verson
Address: 56 Main Street - ---- ---
Northampton, MA 01060
L
*. o hampton, MA 01060
Policy#: BP 11013100 J JUL 0 2007 .,
Date of Loss: 6/21/06 _
Type of Loss: Fire �Iis
File No: ACS-1122 - --
Dear Sir or Madam:
Claim has been made involving loss, damage, or destruction of the above captioned
property, which may either exceed $1000.00 or cause Massachusetts General Laws,
Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General
Laws, Chapter 139, Sec 3B is appropriate, please direct it to the attention of the writer
and include reference to the captioned insured, location, policy number, date of loss, and
claim number.
On this date, copies of this notice have been sent by first class mail to the municipal
officials named above at the address shown.
Sincerely,
Tom Abel
General Adjuster