HomeMy WebLinkAboutMiscellaneous - 115 MILLPOND 4/30/2018 115 MILLPOND
/ 210/095.A-0115-0000.0
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 311
TO: Building Commissioner or Bonrd of Iieallh or
Inspector of Buildings Board of Selectmen
Town of N. Andover ) ( Town of N. Andover
) f
addresses
N. Andover,_ MA 01845 ) ( N. Andover, MA 01845
(
RE: Insured: William & Veryl Anderson
Property address: Unit- 1.1-5 -Millpond
N. ANdover, MA 01845
Policy No. HMA 1287158
Loss of May 6, 19 93
File or Claim No. WAP 16229(water)
i
Claim fins been mnde involving loss, damage or destruction of the above-captioned
property, which cony either exceed $1,000.00 or cause MASS. GEN. LAWS, CHAPTER 143,
SECTION 6, to be applicable. If any notice under MASS. GEN. LAWS, CH. 139, SEC. 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 claim or file number.
Adjuster
Title:
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.
PATRICK J. DONOVAN ASSOCIATES, INC.
P. 0. BOX 110 � l_f�, �> 7/9/93
WAKEFIELD, MA 01880 Signature and date
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
rte,
A_ A-5
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
Town of N. Andover ) ( Town of N. Andover
(
addresses
N. Andover, MA 01845 ) ( N. Andover, MA 01845
RE: I.nsured: William & Veryl Anderson
Property address: <Unft-1 l5 Mi11:Pond-,
N. Andover, MA
Policy No. HMA 1287158
Loss of 5/6/93 19
File or Claim No. WAP16229 Water
Claim has been made involving loss, damage or destruction of the above-captioned
property, which may either exceed $1,000.00 or cause MASS. GEN. LAWS, CHAPTER 143,
SECTION 6, to be applicable. If any notice under MASS. GEN. LAWS, CH. 139, SEC. 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 claim or file number.
Adjuster
Title:
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 snail.
PATRICK J. DONOVAN ASSOCIATES, INC. -�1 _ , q���1� _ 6/23/93
P.O. BOX 110 Signature and date
WAKEFIELD, MA 01880
,�,.�,
til
;, �
�___