HomeMy WebLinkAboutMiscellaneous - 156 BERKELEY ROAD 4/30/2018 (2) 156 BERKELEY ROAD
210/047.0-0084.0000.0
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AMERICAN CLAIMS SERVICE
MULTI-LINE ADJUSTERS
BUILDING COMMISSIONER OR BOARD OF HEALTH OR
INSPECTOR OF BUILDINGS BOARD OF SELECTMAN
Town Hall Town Hall
N. Andover, MA 01845 N. Andover, MA 01845
RE:
INSURED: Thomas E. & Donna Green
PROPERTY ADDRESS: 156 Berkeley Road, N. Andover
POLICY NUMBER: HP1038061
LOSS OF: 12/28/93
FILE/CLAIM NUMBER: 4485
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 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 file number.
Paul D. Jackson
Claims Representative
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.
January 5, 1994
Date
40 SALEM STREET, BUILDING 2,SUITE 9, LYNNFIELD, MASSACHUSETTS 01940
TELEPHONE: (617) 245-9516 . FAX: (617) 245-1077
Address � � ��2/d��� S 7— Title of File
Page of
Date File Open:
— Date fele closed:
Doc Document/Action Title Date of Refer to ether Purpose of Document/Aa`,—Onand notes:
action Document/ document/
Num. Action Dom: artment
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