HomeMy WebLinkAboutMiscellaneous - 224 HILLSIDE ROAD 4/30/2018 (2) 224 HILLSIDE ROAD
210/025.0-0020-0000.0
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(6171723-3800 Ma Only(800)392-6108,FAX(800)851-8424
1 2/2013
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec.36
4 2 2013
TOWN 0HNORTHHDEPgRRTMENT
NORTH ANDOVER HEALTH DEPT.
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: LORRAINNE C BEAUDOIN
Property Address: 224 HILLSIDE ROAD,NORTH ANDOVER, MA 01845
Policy Number: 1079453
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 0210912013
Claim Number: 310332
Claim has been made involving loss,damage or destruction of the above captioned propert,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