HomeMy WebLinkAboutMiscellaneous - 15 WEYLAND CIRCLE 4/30/2018 (2)vl
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VIEW ENGLAND CLAIMS SERVICE, INC.
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P.O. BOX 345 100 CONIFER HILL DRIVE, SUITE 308 P.O. BOX 578
MANSFIELD, MA 02048 DANVERS, MA 01923 SHREWSBURY, MA 01545
TEL. (508) 337-8058 TEL. (978) 777-9900 TEL. (508) 842-3995
FAX (508) 339-5835 ' FAX (978) 774-9296
FAX (508) 842-7510
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139 Sec. 3D
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
A M G
addresses _
RE: INSURED
PROPERTY ADDRESS _�
POLICY NO.:
LOSS OF:
FILE OR CLAIM NO.:
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, Chapter 139, Section 3D
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.
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 claTOWN OF J�o sRTH ANDOVER/
s
BOARD OFHFALTH - Q
FEB 2 2 90ni SIGNAT E AND DATE
cc: Fire Dept.