HomeMy WebLinkAboutMiscellaneous - 110 PEMBROOK ROAD 4/30/2018 (3) 110 PEMBROOK ROAD
210/033.0-0006-0000.0
I ,
I3AY STKIl!", ADJUSTMENT BE 11
lwalw a P.O. BOX 338
Nuava "I%
aighd of ANDOVER. MASSACI 10SEUS 01810 0338 ^r►oc'"1O
Akkius4c"811 ,WMexNM
�+Sud"rX/
FAX Y 508 474 0336 'AQ"'"�
Andover. 475-8111
I dwell: 458-2542 >u
lavaihill: 3740202 Lynn: Sail 5050
TOW�t .ITY FIRE DEPARTMENT
HU�F-
TOWN
or UOQRD OF IWALT11 or
7NNGUOAND OF SEI.EC'1'MEN OF NORTH ANDOVER ) ( TOWN OF NORTH ANDOVER
TOWN HALL ) ( mnc:*�* --
NORTH ANDOVER, MA 01849 ( NORTH ANDOVER,—JL4---04845
RE: INSURED: GILBERT CARON
PROPERTY ADDRESS: 110 PEMBROKE ROAD
POLICY NO. : AP 06RR84$ COMPANY: MER !MACK MUTTiAT
LOSS OF. WATER DATE: 02-06-93
FILE OR CLAIM NO. . 3-181—W
Claim 11as been made involving loss, damage or destruction of the above
captioned property, wliicl► may either exceed 41 ,000.00 or cause Massachusetts
General Law, Chapter 143, Section 6 to be applicable. If any notice under
Massachusetts General Law. Chapter 139! Section 38 is appropriate, please
direct it to the attention of the writer and include a reference to a
captioned insured, location, policy number, date of loss and clai►u or file
number.
I
SCOTT M BOYD GENERAL AnJg�TER
Title
On this date, I caused copies of this notice to be sent to the persons named
above, at the addresses ScaLed above, by first class mail..
Signature `�L� Date