HomeMy WebLinkAboutMiscellaneous - 207 MIDDLESEX STREET 4/30/2018 (2)I
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Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
TO: BUILDING COMMISSIONER OR
INSPECTOR OF BUILDINGS
Town Hall
North Andover, MA 01845
TQ BOARD OF HEALTH OR
BOARD OF SELECTMEN
Town Hall
North Andover, MA 01845
RE: Insured: Ann M. Roy
Property Address: (2a7 -St., -North Andover, -MAS
Policy Number. HP1251714
Date/Cause of Loss: 8/1 "1 (CAT #85) Windstorm
File or Claim No: 92135-8
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. 313 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.
Herb Berger, General Adjuster
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.
Signature and Date
HALLMARK CLAIM SERVICES -
Lakeside Office Park, Door 17, Wakefield, MA 01880
d
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
TO: BUILDING COMMISSIONER OR '
'INSPECTOR OF BUILDINGS
Town Hall
North Andover, MA 01845
TO: BOARD OF HEALTH OR
BOARD OF SELECTMEN
Town Hall
North Andover, MA 01845
RE. Insured. Ann M. Roy
Property Address: 207 Middlesex St., North Andover, MA
Policy Number. HPI 251714 '
Date/Cause of Loss: 8/19/91 (CAT #85) Windstorm
File or Claim No: 92135-B
CLAIM HAS BEEN MADE INVOLVING LOSS, DAMAGE OR DESTRUCTION OF THE ABOVE -CAPTIONED PROPERTY, WHICH
MAY EITHER EXdEED $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. 313 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.
Herb Berger, General Adjuster
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.
Signature and Date I.
- HALLMARK CLAIM SERVICES -
Lakeside Office Park, Door 17, Wakefield, MA 01880