HomeMy WebLinkAboutMiscellaneous - 3 ALCOTT WAY 4/30/2018N
O
O
C7t cu I
O �
O
� � I
o �
g <
w
D
I
LaMarche Associates
5 North Road, P.O. Box 250
Chelmsford, MA 01824
800-349-1525
Fax: 978-256-8590
February 11, 2015
Building Comm i ssioner/I ns pector of Buildings
NORTH ANDOVER, MA 01845
Board of Health/Board of Selectmen
NORTH ANDOVER, MA 01845
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: FANG LIU
Loss Location: 3 ALCOTT WAY
NORTH ANDOVER, MA 01845
Policy Number: PDF0100532073
Date of Loss: 02/10/2015
Cause of Loss: Water
LA File Number: MA -2-25818
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 King
Adjuster
LaMdmhe Associate�, 1"c. - 800-349-1525
Page I of I