17 Insurance Loss 2021LaMarche Associates
1482 North Main Street, P.O. Box 840
Palmer, MA 01069
800-222-0143
Fax: 413-289-1249
July 28, 2021
Building Commissioner/Inspector of Buildings
Florence, MA 01082
Fire Department/Arson Squad
Florence, MA 01082
Board of Health/Board of Selectmen
Florence, MA 01082
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:William & Dorothy Pharmer
Loss Location:17 Plymouth Avenue
Florence, MA 01082
Policy Number:HP543130
Date of Loss:07/28/2021
Cause of Loss:Wind
LA File Number:MA-1-28727
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.
Ian Young
Adjuster
LaMarche Associates, Inc. - 800-222-0143Page 1 of 1