35-093 (3) ROM F. MOM A990UATE 9 INC.
P.O. Box 512 TEL: 413-525-4341
42 Harkness Avenue FAX: 413-525-1885
East on meadow, MA 01028 -
Representing : Arbella Mutual Ins . Co. -Quincy P
P. 0. Box 9103
Quincy, MA 021699103
October 12, 1993
To .
Inspector of Buildings
210 Main Street
Northampton , MA 01060
Re : Insured : Jacqueline D. Langlois, Northampton , MA 01060
Property Address : 6 Cahillane Terrace, , Northampton , MA 01060
Policy: ZC 037396
Date-Loss : 10/02/1993
File or Claim Number: 17326
Claim has been made involving loss, damage, or destruction of the above
captioned property, which may either exceed $1 ,000.00 or cause Mass . Gen .
Laws, Chapter 143, Section 6" to be applicable . If any notice under "Mass .
General Laws , Chapter 139, Section 3B" is appropriate, please direct it to
the writer and include a reference to the captioned insured , location ,
policy number, date of loss and claim or file mumber .
On this date, I caused copies of this notice to be sent to the persons
named above at the address indicated above by first class mail.
Robert F. Trinceri, President