HomeMy WebLinkAboutMiscellaneous - 278 WAVERLY ROAD 4/30/2018 (2)Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
TO: BUILDING COMMISSIONER OR
INSPECTOR OF BUILDINGS
Town Hall
North Andover, MA 01845
TO: riOARD OF HEALTH ORS
��OARD OF_SELE&MEN"�
Town Hail
North Andover, MA 01845
RE: Insured: Robert & Priscilla Quintal
Property Address: r 278 Waverl y Rd_. _ r
No. Andover, MA 01845
Policy Number: H526-90009
Date/Cause of Loss: 8/19/91, Hurricane Bob
File or Claim No: 92160-B
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. 313 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.
Herbert Berger, General Adjuster
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.
l
4&gn,tw�emd Date
- HALLMARK CLAIM SERVICES -
Lakeside Office Park, Door 17, Wakefield, MA 01880