HomeMy WebLinkAboutMiscellaneous - 610 CHICKERING ROAD 4/30/2018 610 CHICKERING ROAD
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Claim #
Advantage Claim Services Adjuster Assigned: Glenn Guarente
522 Chickering Road #B
North Andover, MA 01845
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec. 3B
To: Building Commissioner d/ Board of Health or
Inspector of Buildings Board of Selectmen
Town Hall Town Hall
North Andover, MA 01845 North Andover, MA
Re: Insured: Frank Kneeland
Property address: 610 Chickering Rd.
North Andover, MA 01845
Policy #: 2410045
Loss of: 2015/04/01
File or Claim No. AD 1761
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 Gen—Laws,—Ch.-139—Sec.-3BMass_ 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.
Glenn Guarente
Title: Adjuster
On this date, I caused copies of this notice to be sent to the persons
named at the addresses indicated above by first class mail.
04-21-15
Signature and'date