HomeMy WebLinkAboutMiscellaneous - 412 MAIN STREET 4/30/2018 'L�--: - street
412 MAIN STREET
210/056.0-0013-0000.0
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LRqDSEY
MORDEN
CLAIM SERVICES,INC.
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec. 3B 1�
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
Town Hall ) or ( Town Hall
(
North Andover MA ) ( North Andover MA
RE: Insured: _Ercole L . Sideri Jr. & Angela M. Sideri
Property address : 412 Main Street
North Andover MA
Policy No. HP1329105
Loss of January 16 , 1993
File or Claim No. LW16668
Claim has been made involving or destruction of the above captioned
property, which may either exceed $1 ,000 . 00 or cause Mass. Gen. Chapter
143, Section 153, 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.
deductible .
j Insurance Adiuster
Title
On this date, I caused copies of this notice to be sent to the persons
named above at the address indicated above first class mail .
\�kt ^ ' •� +•�� 1/27/93
Signature and date
I
65 MERRIMACK STREET , LAWRENCE , MASSACHUSETTS 01843
FAX NO : 508 - 687 - 7246.
(508) 686 - 4163
A Member of the Morden and HeWg Group
® AMERICAN CLAIMS SERVICE ^,�PE�,�,
WSURANa
MULTI-LINE ADJUSTERS "TE
0 0
BUILDING COMMISSIONER OR BOARD OF HEALTH OR
INSPECTOR OF BUILDINGS BOARD OF SELECTMAN
120 Main Street
North Andover, MA 01845
RE: INSURED: ( --Ercole'L - "Sideri, Jr./
PROPERTY ADDRESS: Off Main Street,_ N. Andover, MA !
POLICY NUMBER: HP1329105
LOSS OF: 3/6/04, 'Sewer back-up_ Damage Finishedf
asementl
FILE/CLAIM NUMBER 24422 PD
Claim has been made involving loss, damage or destruction of the
above-captioned property, which may either exceed $1, 000.00 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 the
attention of the writer and include a reference to the captioned
insured, location, policy number, date of loss and claim file
number.
Mark Malley
y
Claims Representative
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 n_ . c`s <,Te from you within the next 10 days, we will not be
any portion of this claim to you.
',larch 10,2004
Date
7 KIMBALL LANE, BUILDING C, LYNNFIELD, MASSACHUSETTS 01940
TELEPHONE (781) 245-9516 - FAX: (781) 245-1077