HomeMy WebLinkAboutMiscellaneous - 48 WENTWORTH AVENUE 4/30/2018 (2)M_
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BAY STATE ADJUSTMENT SERVICE �
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Andover: 475.8111
Haverhill: 374.928
P.O. BOX 338 4
ANDOVER, MASSACHUSETTS 01810-0338 ,(/�CO
M'/p�, ASS%IZO
FAX H 508.474.0336 r d =sM1l o+
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Low ell.458-2542
?_ Lynn: 598.5050
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(-ToWN� Y FIRE DEPARTMENT
BUILDING COMMISSIONER ' or BOARD OF HRAr.TI or
�INSPECTOR`DT—hU DINGS--' BOARD OF SELF
TOWN OF N. ANDOVER ) TOWN OF N. ANDOVER
TOWN HALL ) TOWN HALL
NORTH ANDOVER, MA ) NORTH ANDOVER, MA
RE: INSURED: SAMUEL PETROVICH/JILL GOLDBERG
PROPERTY ADDRESS: 48 WENTWORTH ST., NORTH ANDOVER
POLICY NO.: HP0796379 COMPANY: MERRIMACK MUTUAL
LOSS OF: FIRE DATE: 8/16/92
FILE OR CLAIM NO.: 2-1026-F
Claim. has been made involving loss, damage or destruetion :cif °::.'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 -fit tp the
attention of the writer and include a reference to a captioned
insured, location, policy number, date of loss and claim-or.'file
number.
On this date,
persons named
class mail.
jfl AUG 1 91992
L--
6 U I L D I DEEP/-, R1
PAUL R. NESTOR, JR., GENERAL ADJUSTER
Title
I caused copies of this notice to be sent to the
above, at the addresses indicated above, by first
Signature