HomeMy WebLinkAboutMiscellaneous - 51 ADAMS AVENUE 4/30/2018 51 ADAMS AVENUE
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Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
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TO: BUILDING COMMISSIONER OR q
INSPECTOR OF BUILDINGS /
North Andover Town Hall
North Andover, MA 01845
TO: BOARD OF HEALTH OR
BOARD OF SELECTMEN
North Andover Town Hall
North Andover, MA 01845
RE. Insured. Michael J. &Debra Long
Property Address: 51 Adams Street
No.Andover, MA 01845
Policy Number: HP1094870
Date/Cause of Loss:8/15/92- Water Damage
File or Claim No: 93999-C
CLAIM HAS BEEN MADE INVOLVING LOSS, DAMAGE OR DESTRUCTION OF THE ABOVE-CAPTIONED PROPERTY, WHICH
MAY EITHER EXCEED $1,000.00 OR CAUSE MASS. GEN. LAWS. CHAPTER 143, SECTION 6, TO BE
APPLICABLE. IF ANY NOTICE UNDER MASS. GEN. LAWS, CH. 139, SEC. 313 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.
Gregory E. Cusick, General 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.
& nature and D e /
- HALLMARK CLAIM SERVICES -
Lakeside Office Park, Door 8, Wakefield, MA 01880