HomeMy WebLinkAboutMiscellaneous - 16 LONGWOOD AVENUE 4/30/2018 16 LONGWOOD AVENUE
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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(800)851-8424
2/21/2015
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec.313
NORTH ANDOVER BUILDING COMMOSSIONER
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: CHARLES E.OUELLET
Property Address: 16 LONGWOOD AVE, NORTH ANDOVER,MA 01845
Policy Number: 0738276
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 02/20/2015
Claim Number: 331509
Claim has been made involving loss,damage or destruction of the above captioned property,which may either
exceed$1000.00 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 or file number.
MPIUA Claims Division
CMA00021