HomeMy WebLinkAboutMiscellaneous - 124 Coachman's Lane 134 COACHMAN'S LANE ne
210/064.0-0066-0000.0
L.
BUTTERWORTH & O'TOOLE, INC.
P.O. BOX 8294
SALEM,MA 01971-8294
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
TELEPHONE (978)741-5731 FAX (978)740-9109
October 25, 2000
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS . GEN. LAWS, CH. 139, SEC . 3B
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
City/Town Hall City/Town Hall
ADDRESSES
North Andover, MA 01845 North Andover, MA 01845
RE: Insured: Ralph Dockray
Address : 134 Coachmans Lane
30
North Andover, MA 01845
Policy No. : HP0364866
Loss of: 6/22/00
File or Claim No . : 08-1634
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 .
If no reply is received from your office within ten days, we will
assume you have no liens of any type against this property and we will
recommend to the insuring company that this claim is paid.
Edward Welch
Adjuster
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