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Miscellaneous - 89 MAIN STREET 4/30/2018
zJ L V6, /N 5 0 � ESGG A/o� 7 7// N© O —! BAY STATE ADJUSTMENT SERVICE • �iM� P.O. BOX 338 a Wild IN NA At is Ar ANDOVER, MASSACHUSETTS 01810.0338 ASSOC A K> �,..�FAX N 508-474-0336 `o�su"u r+" Andover: 475-8111 Lowell: 458-2542 Haverhill: 374-9282 Lynn: 598-5050 ( TOWN/CITY FIRE DEPARTMENT BUILDING COMMISSIONE p BOARD OF HEALTH or._ INSPECTOR DF -BUILD -1969 BOARD OF SELECTMEN_) TOWN OF NORTH ANDOVER ) TOWN OF NORTH ANDOVER TOWN HALL ) C TnwN HAT.T. NORTH ANDOVER, MAG 18 4 `J' i NORTH ANDOVER, M& RE: INSURED: DOMENIC J. SCALISE & RAYMOND A_ VTVF.N7.Tn, ATT.ANTIC-REALTY TR. PROPERTY ADDRESS: 89 MAIN STREET, NORTH ANDOVER, MA POLICY NO.: BO 662-684 LOSS OF: VANDALISM COMPANY: PENN MILLERS DATE: 01-26-93 FILE OR CLAIM NO.: 3-231—VMM 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. PAUL R. NESTOR, JR., GENERAL ADJUSTER Title On this date, I caused,copie of this notice to be sent to the persons named above, at the address 's indi ated aboye� bytirst Qclass mail. gnature %.i IF Date Forin of Notice of Cagnally Loss to Building 0 Under MASS. GEN. LAWS, Cit. 1.39, Sec. 313 0 TO: ilnilding Connnissioner or Board of I!eallh or Inspector of Buildings Board of Selectmen Town of North Andover ) ( Town of North Andover ( addresses North Andover, MA 01845) ( North Andover, MA 01845 ( RE: Insured: David & Susan McGillivray Property address: 66 Coventry Lane North Andover, MA 01845 Policy No. HP1336524 Loss of December 27, 19 92 File or Claim No. WAP 15352(smoke) Clnim ling been made involvitlg 1099, dnninge or destruction of the above -captioned properly. which may either exceed 561,000.00 or can9e MASS. GEN. LAWS, CHAPTER 143, SECTION 6, to be npplicable. If nay notice tinder ]WASS. GEN. LAWS, CII. 139, SEC. 313 is approprinte please direct it to the ntterltion of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. 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. PATRICK J. DONOVAN ASSOCIATES, INC. P. O, BOX 110 WAKEFIELD, MA 01880 11Q(, _ 2/23/93 Signature and date D o �0 EASTERN ADJUSTMENT COMPANY, INC. 430 BOSTON STREET, UNIT #5 • P.O. BOX 445 • TOPSFIELD, MA 01983 TELEPHONE (508) 887-5858 • FAX (508) 887-8081 Multiple Line Adjusters, Surveyors & Appraisers NOTICE OF CASUALTY LOSS TO A BUILDING Under Mass. Gen. Laws, Ch. 139, Sec. 36 TO: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen JA it Addresses p 1M, A O L 9- 4Z- c RE: Insuror: Cot4w-e, a,� 6/Xc& , Insured: Camay Gflea Z na4a�K c Property Address: C F-7 W.OSS A -LW_- %`fQ, A",C06.A- Policy Number: Nie. sr--s-46s-7 File and/or claim No.: Loss by:. C7 -,#C6 V0— ll!R l� On: 2-7 19`?3 As representatives of the above captioned Insurance Company, we hereby notify you, in behalf of said Insurance Company, that 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 un r ass, Gen. Laws,Ch. , ec. 3B is appropriate, please direct it to the attention of the writer and include a ref- erence to the captioned Insured, location, policy number, date of loss and file or claim number. On this date I persons named above, class mail. FEB 2 5 �--7,g.�A eU.. Adjuster caused copies of this notice to be sent to the at the addresses indicated above, by first a Ig13 S1 gnature and date