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210/104._B=020 5-0000.0
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March 27, 2015
NORTH ANDOVER BUILDING COMMISSIONER
NORTH ANDOVER TOWN HALL
NORTH ANDOVER, MA 01845
Claim Number: 033564404
Policy Number: 09291400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 03/09/2015
Insured: LINDA DOHERTY
Property Location: 62 WINTERGREEN DR NORTH ANDOVER, MA 01845
To whom it may concern:
Claim has been made involving loss, damage, or destruction of the above captioned property, which may
either exceed $1,000 or cause Massachusetts General Laws, 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. Kindly include a reference to the captioned insured, location, date of loss and
claim number.
Very truly yours,
Laura Barber
CC: City/Town Fire Dept., City/Town Health Dept.
9 BrightClaim, LLC. PO Box 502048 Atlanta, GA 30350 9