HomeMy WebLinkAboutMiscellaneous - 27 MILLPOND 4/30/2018r 0
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Claim Department
R. C. Picavet, Manager
TO: Building Commissioner or
Inspector of Buildings
RE: Insured: MILLPOND HOMEOURNUaS ASSOCIATION ETAL
Property addresst 277 Mill Pondi4ndover, MA.
Policy No. T650-902E815-6-TIA-8o
Loss of August 6, 1980
Board Of Health or
Board of selectmen
20 Main Street
Andover, MIA.
File or Claim No.. 452 FN N73 9379 E
Cause of Loss Water Damage
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. Laigs. 2
Ch. 139, Section U is appropriate please direct it to the attention of the
writer and, include a reference. io the captioned insured, location, policy number,
date of loss and claim or file number.
(signature)
L
Title:
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.
Signature and date.
DANVERS OFFICE OF THE TRAVELERS INSURANCE COMPANIES