HomeMy WebLinkAboutCasualty of Loss Notice - Miscellaneous - 119 HICKORY HILL ROAD 8/24/2020 LaMarche Associates
5 North Road, P.O. Box 250
REce fto Chelmsford, MA 01824
800-349-1525
AUG 2 4 2020 Fax: 978-256-8590
T 0�'�N OF NO
HEALTHDEpAaAMDOTER August 13, 2020
Building Commissioner/Inspector of Buildings
North Andover, MA 01845-1138
Board of Health/Board of Selectmen
North Andover, MA 01845-1138
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: Kyle & Stephanie Worthley
Loss Location: 119 Hickory Hill Road
North Andover, MA 01845-1138
Policy Number: 2007400534
Date of Loss: 08/09/2020
Cause of Loss: Water
LA File Number: MA-2-38320
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.
Kris Kirkpatrick
Adjuster
LaMarche Associates,Inc.-800-349-1525
Page 1 of 1