HomeMy WebLinkAboutMiscellaneous - 5 WALKER ROAD 4/30/2018 (6)�,
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New England Claims Services, Inc.
131 Dodge Street, Suite 6
Beverly, MA 01915
Phone #(978) 927-3000 Fax # (978) 927-3002
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec 3B
To: Building Commissioner or
Inspector of Buildings
City Hall
North Andover, MA 01810
To: Board of Health or
Board of Selectman
City Hall
North Andover, MA 01810
RE: Insured: David & Maura O'Neil
Property Address: 5 Walker Road, Unit 2, North Andover, MA 01810
Cause of Loss/Date: Power Surge of 8/17/2012
File or Claim No: BOS 050356
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 or file number.
Robert L. Smith, Jr.
Adjuster
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
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