HomeMy WebLinkAboutMiscellaneous - 22 INGLEWOOD STREET 4/30/2018 (2) r------- ---
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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
I 1o: BOARD OF HEALTH OR
nOARD OF SELECTMEN
Town Hall
North Andover, Ma 01845
RE: Insured: James& Linda Holt
Property Address: 22 Ingle wo Stj:e_et__.:D
North Andover, Ma 01845
Policy Number: HP1 36 49 54
i
Date/Cause of Loss:6/21/91-Water/Pipe Burst
File or Claim No: 91875-B
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.
ti� t
Signature and Date !)
HALLMARK CLAIM SERVICES -
Lakeside Office Park, Door 17,Wakefield, MA 01880
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
PLC
TO: BOARD OF HEALTH OR
BOARD OF SELECTMEN
Town Hall
North Andover, Ma 01845
RE: Insured: James&Linda Halt
ProperlyAddress: 22 filglewood Street_
North Andover,Ma 01845
Policy Number: HP136 49 54
Date/Cause of Loss:6/21/91-Water/Pipe Burst
File or Claim No: 91875-B
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, 1 CAUSED COPIES OF THIS NOTICE TO BE SENT TO THE PERSONS NAMED ABOVE AT THE
ADDRESSES INDICATED ABOVE BY FIRST CLASS MAIL.
N.
Signature and Date
- HALLMARK CLAIM SERVICES -
Lakeside Office Park, Door 17, Wakefield, MA 01880