HomeMy WebLinkAboutMiscellaneous - 240 HICKORY HILL ROAD 4/30/2018 (3)k-3
' Insurance Adjustment Service, Inc.
435 King St.
Littleton, MA 01460
(978) 952-6966
Fax (978) 952-2459
UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 139 SECTION 3B
Date: March 11, 2004
TO: Town of North Andover
Board of Health/Building Inspector E "r,'�BOP � 9f
North Andover, MA 01845
RE: Insured: Steven & Heidi Chaff
12 20�D �
l
Property Address: 240 Hickory Hill Rd.
North Andover, MA 01845 x
Date of Loss: 3/1/2004
Policy Number: HO 0203173
Type of Loss: water damage — pipe leak
File or Claim Number: 14175
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. 38 is appropriate, please direct it to the attention of the
writer and include a reference to the captioned insured, locations, policy number, date of loss and claim or file
number.
Thank you for your cooperation.
Ve yours,
Scott O'Neil
Adjuster
Ext. 129