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HomeMy WebLinkAboutMiscellaneous - 47 MARBLEHEAD STREET 4/30/2018 (4) 47 MARK EHEAD STREET ret 210/008.0-0019-0000.0 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424 9/12/2006 Form of Notice of Casualty Loss to Building Under Mass, Gen. Laws, Ch.139, Sec.36 RECEIVE® SEP 19 2006 NORTH ANDOVER HEALTH DEPT. t©wN of NORTH ANDOVER NORTH ANDOVER TOWN HALL HEALTH DEPARTMENT NORTH ANDOVER MA 01845 Re: Insured: JANET LEES Property Address: 47 MARBLEHEAD STREET, NORTH ANDOVER, MA 01845 Policy Number: 0698897 Type Loss: Theft Date of Loss: 09/03/2006 Claim Number: 233994 Claim has been made involving loss, damage or destruction of the above captioned propert, 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 36 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 i and claim or file number. MPIUA Claims Division CMA00021 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108-1904 (617) 723-3800, Ma Only (800) 392-6108, Fax (617) 557-5675 12/28/04 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec.313 NORTH ANDOVER HEALTH DEPT. v� NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 JAN 0 4 2005 ,npVER AL Ho R Re: Insured: JANET LEES ©HESP r '�j�Nc Property Address: 47 MARBLEHEAD STREET, N TH ANDOVER, MA 01845 Policy Number: 0698897 Type Loss: Furnace/Boiler Date of Loss: 12/23/04 Claim Number: 212715 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 3 B 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. MPIUA Claims Division CMA00021 BAY STATE ADJUSTMENT SERVICE ► �: rnnan Maur P.O. BOX 338 i�A' Le�uw e.1 ANDOVER, MASSACHUSETTS 01810-0338 "S�" 1ql rus�aestnt ca�cev� ,lfJlAH(j FAX N 508- D)US't Andover 475-8111Lowell: 458.2542 Haverhill: 374-9282 Lynn: 598-5050 I. I TOWN/QMFIRE DEPARTMENT INBUILDING COMMISSIONER or BOARD OF HEALTH or CBOARD OF_SELECTMEN j INSPECTOR OF INGS � TOWN OFNORTH ANDOVER ) TOWN OF NORTH ANDOVER TOWN HALL ) TOWN HALL NORTH ANDOVER, MA ) NORTH ANDOVER, MA RE: INSURED: JANET & WILLIAM LEES PROPERTY ADDRESS: ( 47 Marblehead' -Street, North Andover'- MA- POLICY NO.: HOM1025569 COMPANY: Manufacturers & Merchants LOSS OF: Windstorm DATE: April 23, 1991 FILE OR CLAIM NO.: 1-799-W/S 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 Law, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to a captioned insured, location, policy number, date of loss and claim or file number. LISA M ENGEL, ADJUSTER EXT_ #19 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. j Signature �— Date BAY STA'L'E ADJUSTMENT SRVICE ranan leucon P.O. BOX 338 ANDOVER, MASSACHUSETTS 01810-0338 �i�iA1ON wcn�1 IRSLKw1S1II I _ �wewwtf FAX # 508 onral Andover: 475 8111 Lowell: 458-2542 Haverhill: 374-9282 Lynn: 598-5050 I TOWN/QM FIRE DEPARTMENT BUILDING COMMISSIONERor BOARD OF__HEALTH or INSPECTOR OF INGS BOARD OF SELECTMEN TOWN OF ,NORTH ANDOVER ) TOWN OF NORTH ANDOVER TOWN HALL ) TOWN HALL NORTH ANDOVER, MA ) NORTH ANDOVER, MA RE: INSURED: JANET & WILLIAM LEES PROPERTY ADDRESS: ( 47 Md`rblehead--S-treeE, Nortfi Andover' MA�_ POLICY NO. : HOM1025569 COMPANY: Manufacturers & Merchants LOSS OF: Windstorm DATE: April , 1991 FILE OR CLAIM NO. : 1-799-W/S 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 Law, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to a captioned insured, location, policy number, date of loss and claim or file number. LISA M ENGEL_, An US R FXT_ #18 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. Signature �, _�— Date