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® MAPFRE The Commerce Insurance Companyw
Citation Insurance Company1m
Commerce "
Gore Road,Webster,Massachusetts 01570
INSURANCE-
508.949.15001 www.commerceinsurance.com
January 10, 2014
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
NORTH ANDOVER MAO1845
RE: Our Insured: JAMES BUCKLEY IV
Property Address: 23 BEECH AVENUE
Policy#: BDNPQG
Date of Loss: 01/03/2014
File#: HTAT74-CHXTJ5
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, 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 my attention. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
GREGORY CRANNEY Telephone: (508)949-1500 Ext: 15857
Sr Claim Representative, Property Toll Free: 1-800-221-1605, Ext:15857
On this date, I cause copies of this notice to be sent to the persons indicated above, at the
address above, by first class mail.
January 10, 2014
CIC 254 (Rev.4/95) MAIL N34