HomeMy WebLinkAboutMiscellaneous - 118 MARBLEHEAD STREET 4/30/2018 (2) 118 MARBLEHEAD STREET eet
210/009.0-0018-0000.0 ,
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orlon Boyd & Company., %qna
Multiple Line Adjusters&Surveyors Established 1926
TELEX NO 466111
CABLE:BOYDCO
ADDRESS REPLY TO:
11 LAWRF -R',f, S'k'
Form of Notice of Casualty Loss to Building 1-AVYilolr:F,01
Under Mass. Gen. Laws,Ch. 139, Sec. 36
To: Building Commissioner or Burd of Health or
Inspector of Buildings Board of Selectmen
addresses
(
Re: Insured: / /fyt�D/1'/L- .�.�/ Z1,1 J34t-A- v�/�•'�I�iQal
Property address":'
Ayyo✓enc /N/q J3
Policy No.
Loss of -2-12- r- d 7 19
File or Claim No.
I
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. 36 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
I .
and claim or file number.
Title:
On this date, I caused copies-of this notice to besent tot person a ed above at the addresses
indicated above by first class mail.
Signature and d4re
MASSACHUSETTS CONNECTICUT NEW HAMPSHIRE VERMONT MAINE RHODE ISLAND �
Boston Lawrence Bridgeport Claremont Brattleboro Augusta Pawtucket NA At
Barnstable Pittsfield New London Gorham Burlington Lewiston AsSOCiAtp►r
CLMW aRRVICR Or Brockton Salem No.Haven Laconia Montpelier Skowhegan NEW YORK tNoty MXNT
NEW 9"LAMo,Inc. Fall River Springfield Stamford Manchester White River Jct. S.Portland Utica WAINA►Kt
Fitchburg Worcester Waterbury Portsmouth oxxtt,
W.Hartford