HomeMy WebLinkAboutMiscellaneous - 80 PEMBROOK ROAD 4/30/2018 (4)N
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N W ENGLAND CLA=MS SEcavT_C E, INC.
363 Broadway
Linn d, MA 01940
Fcr:n of Notice of Casualty Loss tc Building
Under Mass. Gen. Laws. Ch. 139 sec. 30
s -p : Building Ccmmissianer or
Inspectar of Buildings
RC2=d Qf '=n3rt t^ CC:'"t
Bcard of
RE c INSURE:3
PROPERTY ADDRESS :
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PoLTev No. e 4 p 0� d .Ib
LOSS OF-.
FILE OR CLAIM NO..: (J
Claim has been made involving loss, damage a= destructiec c= t: -:e
zbeve-captioned vroperty which may either e:�ceed .�1, 000.00 or cause Mas_
G-e_n. laws, Chanter 143: Sect_cr_ 6 to be ape? _cable . If any re t_ce urde=
Mass. Ger_. Laws; Chanter 139, Section 3D is appropriate, please d__ect iz
to the attentiva of the writer and include a re=e-ence to the ca_oticred
i,J ; rr+c-
nsured, location, polio nc.:::�er, date of Lass ani claim o_
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 Trail.
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AND
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