HomeMy WebLinkAboutMiscellaneous - 31 FOXHILL ROAD 4/30/2018 31 FOXHILL ROAD `
y 210/0370000.0 ` .
PATRICK J. DONOVAN ASSOCIATES, INC.
"CLAIM AND LOSS ADJUSTMENTS" T'f3'J4P!OF '1--071ER/
30
P.O. Box 110 _
Wakefield, MA 01880 R '
(617) 245-5540 APR 1 6 197
FORM OF NOTICE OF CASUALTY LOSS TO BUILDIN-(G—`- - --
UNDER MASS. GEN. LAWS. CHP. 139, SEC. 3B
TO: Building Commissioner or
Inspector of Buildings
City or Town Hall
No- kAoicr� two.
RE: Insured: r c ZT _ J
Property Address;I a 1p [ 1
Policy Number:
Loss Type: (CG
Date of Loss:
f
Our File Number:
Claim has been made involving loss, damage or destruction of the above-
captioned property, which may either exceed $1,000 or cause Mass. Gen. Laws,
Chapter 143, Section 6, to be applicable. If any notice under Mass. Gen.
Laws, Chapter 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, ate of loss and file number.
Adjuster
CL
Donovan Associates, Inc.
Wakefield, MA;
;1)'
)q
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.
i I
PATRICK J. DONOVAN ASSOCIATES, INC.
"CLAIM AND LOSS ADJUSTMENTS"
P.O. Box 110
Wakefield, MA 01880
(617) 245-5540
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS . GEN. LAWS . CHP. 139, SEC. 3B
TO: Building Commissioner or
inspector of Buildings
City or Town Hall
�o�} (�nc1over�
01 �y 5
RE : Insured:
Property Address : 31 roy,
(`10vN� 0)Fy5
Policy Number: H P
Loss Type :
Date of Loss : `p- 13-9
Our File Number: WA 2g2�o�
i
Claim has been made involving loss, damage or destruction of the above-
captioned property, which may either exceed $1, 000 or cause Mass . Gen. Laws,
Chapter 143 , Section 6, to be applicable . If any notice under Mass . Gen.
Laws, Chapter 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 and file number.
Adjuster
Donovan Associates, Inc .
Wakefield, .,MA
Yaf
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 .
Address p K Title of File
Page of
Date File Open: Date file closed:
Doc Document/'Action Title Date of Refer to ather Purpose of Document/Action and notes.
action Document/ document/
filum• Action Department
i
Board of Appeals - Board of Health - Planning Board - Conservation Commission - Buillding Department