HomeMy WebLinkAboutMiscellaneous - 14 INGLEWOOD STREET 4/30/2018 (2) ,\ I
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MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800, Ma Only (800) 392-6108, Fax (617) 557-5675
01/26/05
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec.3B RECEIVED
FEB 0 4 2005
NORTH ANDOVER HEALTH DEPT. THEA TH PAR ME TER
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: WILLIAM GEREMIA
Property Address: 14 INGLEWOOD ST, NORTH ANDOVER, MA 01845
Policy Number: 0657272
Type Loss: Water Damage
Date of Loss: 01/06/05
Claim Number: 213449
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable. If any notice under Massachusetts General Laws, chapter 139,
Section 3 B 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.
MPIUA Claims Division
CMA00021
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800, Ma Only (800) 392-6108, Fax (617) 557-5675
11/02/02
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec.3B TOJUNN O HTrfF/—� OF EA
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NORTH ANDOVER HEALTH DEPT. ---- .__
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: WILLIAM GEREMIA
PropertyAddress:== 14 INGLEWOOD ST, NORTH ANDOVER_,_M_A 01845
Policy Number: 0657272
Type Loss: Water Damage
CD`ate of`Loss__ 04/01/02
Claim"Number: 94505
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause Massachusetts General Laws; Chapter 143,
Section 6 to be applicable. If any notice under Massachusetts General Laws, chapter 139,
Section 3 B 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.
MPIUA Claims Division
CMA00021
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MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800, Ma Only (800) 392-6108, Fax (617) 557-5675
02/12/05
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec.313
NORTH ANDOVER HEALTH DEPT.
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: WILLIAM GEREMIA
Property Address: 14 INGLEWOOD ST, NORTH ANDOVER, MA 01845
Policy Number: 0657272
Type Loss: Ice Dams RECEIVED
Date of Loss: 01/20/05
Claim Number: 214983 FEB 2 2 2005
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable. If any notice under Massachusetts General Laws, chapter 139,
Section 3 B 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.
MPIUA Claims Division
CMA00021