HomeMy WebLinkAboutMiscellaneous - 29 LINDEN AVENUE 4/30/2018 (2)Building Commissioner/Inspector of Buildings
N. Andover, MA 0 1846
Board of Health/Board of Selectmen
N. Andover, MA 0 1846
NOTICE OF CASUALTY LOSS
LaMarche Associates
233 West Central Street
P.O. Box 179
Natick, MA 01760
(508) 650-9777
Fax: (508) 650-9870
February 03, 2005
RECEIVED
FEB 2 8 2005
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 313
Claim has been made involving loss, damage or destruction of the property captioned below, which may either
exceed $ 1,000.00 or cause Massachusetts General Laws, ChEter 143, Section 6 to be applicable. If any notice
under Massachusetts General Laws, Chgpter 139, Section 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, cause of loss and LA
file number.
Insured: CLEARY, HAROLD AND DORIS
Loss Location: 29 Linden Ave
N. Andover, MA 0 1846
Policy Number: HP294375
Date of Loss: 1/26/2005
Cause of Loss: Physical Damage
LA File Number: MA -2-25800
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.
1 " 1. 1z 11
Thor6i�s�A. Samwell
Adjuster