HomeMy WebLinkAboutMiscellaneous - 74 BUCKINGHAM ROAD 4/30/2018 (2)1
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BAY STATE ADJUSTMENT SERVICE
IWaltw of
�an+an P.O. BOX 338
ANDOVER, MASSACHUSETTS 01810 0 8
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FAX # 508-474-0336 .�"Awl
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Andover: 475-8111 owel 458-2542
Haverhill: 374.9282 Lynn: 598-5050
TO�ITY FIRE DEPARTMENT
LADING COMMISSIONER BOARD -OF -..HEALTH or
INSPECTOR OF BUILDINGS ARD OF SELECTMEN
TOWN OF NORTH ANDOVER ( TOWN OF NORTH ANDOVER
TOWN HALL
NORTH ANDOVER, MA
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RE: INSURED: PETER & NANCY ROSSITER
( TOWN HALL
( NORTH ANDOVER, MA
PROPERTY ADDRESS: l 74 BUCKINGHAM ROAD N0. ANDOVER
POLICY NO.: 309658 COMPANY: FITCHBURG MUTUAL
LOSS OF: WATER
DATE: 9-26-91
FILE OR CLAIM NO.: 1-2222-W
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 Law, 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 and include a reference to a
captioned insured, location, policy number, date of loss and claim or file
number.
r
PAUL R. NESTOR, JR., GENERAL ADJUSTER
Title
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.
Po e,
Signature n
(�S) Date
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