HomeMy WebLinkAboutMiscellaneous - 66 BELMONT STREET 4/30/2018 66 BELMONT STREET
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Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To: Building Commissioner or
Inspector of Buildings
1600 Osgood Street
North Andover, MA 01845
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RE: Insured: 66-68 Belmont Street Condo c/o William Chase
Property Address: 66-68 Belmont Street
Policy Number: SBP2149474
Date/Cause of Loss: 11/20/2012, Water/Plumbing
File or Claim Number: 27313-R
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.
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Ryan Werner
On this date, I caused copies of this Notice to be sent to the per ns named above at the
addresses indicated above by First Class Mail.
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Signat a and Date
ANDERSON ADJUSTMENT CO., INC.
50 Nashua Road, Suite 303
PO Box 1098
Londonderry, NH 03053