25A-106 (12) Northampton Fire Department
60 Masonic St. Northampton, Ma. 01060 1-413-584-7165
Date ...NQyember,9„1989 .... Box.# . .... Tel# .,911....
Time.. .l.$17...... Os .1819.... Dismissal 1905...........
Street Address ...X5L. 0.d9e..St.......I......I.........
D,escriwtion of Building Frame X...Ordinary..... F.R .....
Stories .....2................... ........... .... ..........
How Occupied .DAQ1 1j.r9........ . ......... ..... . . ........
Owner of Building �iv J.eff. u.I+c.hjp............. ...... .....
� r.
Occupant ........................ ...... ................. ..
Apparatus Responding Eng.# ..3-4........ Lad.# .........
How Extinguished Fire.raut.mn.a.rr.j v.d1........ ........
Ladders.............................. ............. ........
Feet of Hose Used .............. ............ .............
Fire Marshal Called ............ ......... .................
Cause of Fire ................... .........................
Value of Building $..... ............ Loss $ ............
Ins. on Building $................. Paid $.............
Insurance Agent ..........................................
Insurance Company .................................. ......
REMARKS : Responded to a report of an accident
and fire involving a car hitting a house.
No fire on arrival . SIQDd by antill czar was
removedd.Disconnected battery
engine compartment and porch. Czar struck.___
cnrnPr of Torch d magi na corner ter p s ” and
sjpports_ Car Volkswagen Rabbit Mass re——
789 NAB Driver Nickolas Widiol .
Signed.:::` �.�.I� _. ........ , NUS ,
Pp INTaSNOP
Deputy Chief or Captain