HomeMy WebLinkAboutMiscellaneous - 252 CHESTNUT STREET 4/30/2018 (4)n
BUTTERWORTH & 01TOOLE9 INC.
P.O. BOX 8294
SALEM, MA 01971-8294
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
TELEPHONE (978) 741-5731 FAX (978) 740-9109
April 06, 2004
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
Citv/Town Hall
ADDRESSES
North Andover, MA 01845
RE: Insured: Patricia Jason
Address: 252 Chestnut Street
Policy No.
City/Town Hall
North Andover, MA 01845
North Andover, MA 01845
HMA1533901
Loss of: 02/15/04
File or Claim No.: 041-0750
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. 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.
If no reply is received from your office within ten days, we will assume
you have no liens of any type against this property and we will recommend to the
insuring company that this claim is paid.
Vicki Gardner
Adjuster
BUTTERWORTH & 01TOOLE9 INC.
P.O. BOX 8294
SALEM, MA 01971-8294
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
TELEPHONE (978) 741-5731 FAX (978) 740-9109
April 06, 2004
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
City/Town Hall
ADDRESSES
North Andover, MA 01845
RE: Insured: Patricia Jason
Address: 252 Chestnut Street
Policy No.:
City/Town Hall
North Andover, MA 01845
North Andover, MA 01845
HMA1533901
Loss of: 02/15/04
File or Claim No.: 041-0750
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. 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.
If no reply is received from your office within ten days, we will assume
you have no liens of any type against this property and we will recommend to the
insuring company that this claim is paid.
Vicki Gardner
Adjuster