HomeMy WebLinkAboutMiscellaneous - 105 FOXHILL ROAD 4/30/2018PATRICK J. DONOVAN ASSOCIATES, INC.
Claim and Foss .:Adjustments
P. O. BOX 110
WAKEFIELD, MA 01830
TEL. (781) 245.5540 — FAX (781) 245-7016
October 22, 1999
s
Building Commissioner
City or Town Hall
North Andover, MA 01845
Insured
Property Address
Insurer
Policy Number
Type of Loss
Date of Loss
Our File #
: Karl & Joyce Gladstone
: 105 Fox Hill Road
North Andover, MA 01845
: Preferred Mutual Ins Co
: PHOO100540718
: Water Damage
: October 13, 1999
: WAP30213
Claim has been made involving loss, damage or destruction of the above -captioned
property, which may either exceed $1,000 or cause Mass. Gen. Laws, Chapter 143,
Section 6, to be applicable. If any notice under Mass. Gen. 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 and file number.
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.
/�O A_t
Vern Laws
Adjuster
VL/so
LSOCIATION OF INDEPENDENT INSURANCE ADJUSTERS-,-,,,,,_
of Massachusetts �.