HomeMy WebLinkAboutMiscellaneous - 173 COACHMANS LANE 4/30/2018—Adjusters' Collaborative, Inc.
27 Water Street Rear • Wakefield, MA 01880
(617) 245-5BB2 / 6296 • FAX (617) 245-6099
TO: BUILDING CO SIONER OR RD-OF�-HEALTH OR FIRE DEPA ?NT OR
INSPECTO OAF BOARD OF SELECTMEN ARSON AD
TOWN OF NORTH ANDOVER
TOWN HALL, NORTH ANDOVER, MA
RE: INSURED: RICHARD & ANNE MARGARET ISSENBERG
PROPERTY ADDRESS:
173'Coachmans Lane, No. Andover, MA.
POLICY NO: HP 1519197 - Cambridge Mutual
LOSS OF: Sept. 26, 1992 TYPE OF LOSS:
FILE OR CLAIM NO.:
Water Damage
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.
On this date, I caused copies of this notice to be sent to the persons named above at the
addresses indicated above via first class mail.
Mass. House Bill 3923, effective October 23, 1986, requires adjusters or insurers to
notify the Fire Dept. or Arson Squad of the city or town in which a loss of $1,000.00
or more is sustained to a bui4ding.
Robert C. Gonnam
Adjuster
CAMBRIDGE MUTUAL FIRE INS. CO.
Company
Oct. 28, 1992
Date