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4 9800 Fredericksburg Road
San Antonio, TX 78288
USAW
04664.1YBX3.JSS1066665358.01.01.4454
BUILDING DEPARTMENT
1600 OSGOOD STREET
BUILDING 20, SUITE 2035
NORTH ANDOVER MA 01845-1057
Reference: MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B
Attention Building Commissioner,
I am writing regarding the claim referenced below.
Policyholder: Thomas Veasy
Reference #: 013539641-4
Date of loss: February 8, 2015
Location of loss: North Andover, Massachusetts
Address: 36 RUSSETT LN, 01845
June 17, 2015
A claim has been made involving loss, damage or destruction of the property referenced above,
which may either exceed $1000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143,
SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS, CHAPTER 139,
SECTION 3B is appropriate, please direct it to my attention and include the reference #.
You may submit correspondence or questions to me. My contact information is:
Address: P.O. BOX 33490
SAN ANTONIO, TEXAS 78265
Fax: 1-800-531-8669
Phone: 1-800-531-8722 ext. 79741
Sincerely,
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Dennis P Strubhart
Property SAT E Unit 6
USAA Casualty Insurance Company
PO Box 33490
San Antonio, TX 78265
Phone: 1-800-531-8722 ext. 79741
Fax: 1-800-531-8669
MIS/DSS
013539641 - DM -04664 - 4 - 6761 - 03
54577-0914
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