HomeMy WebLinkAboutMiscellaneous - 35 CAMPION 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 Board of health or
Inspector of Buildings Board of Selectmen
Town of N. Andover ) ( Townof N. Andover
) (
addresses
N. Andover, MA 01845 ) ( N. Andover, MA 01845
RE: Insured: John P. & Joan M. Zarrella
Property address: 35 Campion Road
N. Andover, MA 01845
Policy No. HP 1272207
Loss of
March 13,
File or Claim No. WAP 15 7 83 (s to
1.993
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.
Adjuster _
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.
PATRICK J. DONOVAN ASSOCIATES, INC.
P. 0. BOX 110
WAKEFIELD, 10 01880 .�L 5/25/93
Signature and date
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